Organization
NEUROSCIENCE INSTITUTE ON ADDICTION
Active
Parent organization
SUD FACILITY OPTIMIZATION, LLC
Other names
Neuroscience Institute on Addiction
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUD FACILITY OPTIMIZATION, LLC
Authorized official
DR. JAY BOULDIN MBBS/MD/PHD22 (DIRECTOR OF OPERATIONS)
(954) 260-0104
Entity
Organization
Contact information
Practice address
142 VILLAGE LN, HOHENWALD, TN 38462-2501
(954) 260-0104
Mailing address
142 VILLAGE LN, HOHENWALD, TN 38462-2501
(954) 260-0104
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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