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Organization
THE BRANCH HOUSE
Active
Organization
THE BRANCH HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI WRIGHT (OWNER)
(678) 834-7615
Entity
Organization
Contact information
Practice address
562 CENTER ST, COLLIERVILLE, TN 38017
(678) 834-7615
(678) 834-7616
Mailing address
5737 OLD NATIONAL HIGHWAY, 300, ATLANTA, GA 30349
(678) 834-7615
(678) 834-7616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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