OrganizationActive
East Tennessee Addiction Specialists
NPI 1770080632 · Substance Use Disorder Rehabilitation Clinic/Center · Maryville, TN
Provider details
- NPI number
- 1770080632
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clay Stalcup, Coowner(865) 406-2715
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
111 Station Dr Bldg 3
Maryville, TN 37804-4190
Phone: (865) 268-4360
Approximate (ZIP-level) locationGet directions
Mailing address
111 Station Dr Bldg 3
Maryville, TN 37804-4190
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.