Organization
INTEGRATIVE LIFE CENTER, CHATTANOOGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG KFOURY (CRO)
(571) 455-3303
Entity
Organization
Contact information
Practice address
7385 APPLEGATE LN, CHATTANOOGA, TN 37421-5234
(423) 561-9370
Mailing address
1105 16TH AVE S, NASHVILLE, TN 37212-2327
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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