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Organization
STATE OF TENNESSEE STATE F & A PAYROLL
Active
Organization
STATE OF TENNESSEE STATE F & A PAYROLL
Active
Parent organization
STATE OF TENNESSEE
Other names
Moccasin Bend Mental Health Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF TENNESSEE
Authorized official
MR. RODNEY HENDERSON (ADMINISTRATOR)
(423) 785-3321
Entity
Organization
Contact information
Practice address
100 MOCCASIN BEND RD, CHATTANOOGA, TN 37405-4415
(423) 265-2271
(423) 875-3454
Mailing address
100 MOCCASIN BEND RD, CHATTANOOGA, TN 37405-4415
(423) 265-2271
(423) 875-3454
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3282227
—
TN
Enumeration date
02/06/2006
Last updated
03/31/2022
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