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Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1730508201

Organization Information:
Organization is Subpart
Authorized Official:  HOLLY  RASMUSSEN-JONES  SECRETARY  479-201-4835

Practice Location:
Tel: 931-551-4100  Fax: --

Business Mailing Address:
Tel: 931-551-4100  Fax: --

NPI Information:
NPI: 1730508201
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
Emergency Medicine
Family Medicine
Internal Medicine
Physical Medicine & Rehabilitation
Psychiatry & Neurology
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363L00000X





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