# DEPT. OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205011236
- **Authorized official:** MR. BRODERICK EUGENE BURKE (ADDICTION THERAPIST)
- **Authorized official phone:** (615) 867-6000

## Contact information

- **Practice address:** 3400 LEBANON RD BLDG 11, MURFREESBORO, TN 37129-1237
- **Practice address phone:** (615) 867-6000
- **Mailing address:** 3400 LEBANON RD BLDG 11, MURFREESBORO, TN 37129-1237
- **Mailing address phone:** (615) 867-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | LDC0000000860 | TN | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008