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Organization
INNOVATIVE CARE SOLUTIONS
Active
Organization
INNOVATIVE CARE SOLUTIONS
Active
Other names
Innovative Care Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRAMY CANTRELL (OWNER)
(931) 761-5732
Entity
Organization
Contact information
Practice address
2307 W ANDREW JOHNSON HWY STE 113, MORRISTOWN, TN 37814-8500
(423) 839-0720
Mailing address
2307 W ANDREW JOHNSON HWY STE 113, MORRISTOWN, TN 37814-8500
(423) 839-0720
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060972
—
TN
Enumeration date
09/11/2019
Last updated
12/08/2020
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