# LIVE THE DREAM CENTER, INC

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

## Provider details

- **NPI number:** 1598235277
- **Authorized official:** TERRY J PHILLIPS CLERGY (PASTOR)
- **Authorized official phone:** (615) 674-4326

## Contact information

- **Practice address:** 3343 SYCAMORE CREEK RD, WOODBURY, TN 37190-5025
- **Practice address phone:** (615) 674-4326
- **Mailing address:** 3343 SYCAMORE CREEK RD, WOODBURY, TN 37190-5025
- **Mailing address phone:** (615) 674-4326

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2018
- **Last updated:** 11/26/2018
