# EMMANUEL TREATMENT CENTER

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

## Provider details

- **NPI number:** 1538498555
- **Authorized official:** MISS DANA RENA MOBBS (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (931) 231-5905

## Contact information

- **Practice address:** 101 MAIN STREET, ETHRIDGE, TN 38456
- **Practice address phone:** (931) 231-5905
- **Mailing address:** 2773 HIGHWAY 43 N, LAWRENCEBURG, TN 38464-6057
- **Mailing address phone:** (931) 231-5514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1000000005014 | TN | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 12/22/2009