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Provider NPI: 1083683718

Organization Information:
Organization is not Subpart
Authorized Official:  ERIC W. BROWN  DIRECTOR OF OPERATIONS  615-661-4544

Practice Location:
Tel: 615-661-4544  Fax: 615-661-4505

Business Mailing Address:
Tel: 615-661-4544  Fax: 615-661-4505

NPI Information:
NPI: 1083683718
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number

N103TB0200XBehavioral Health & Social Service Providers
Nursing Care
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
Community/Behavioral Health
Case Management
Y171WH0202XOther Service Providers
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Home Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 171WH0202X





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