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Organization
CEDAR RECOVERY OTP, LLC
Active
Organization
CEDAR RECOVERY OTP, LLC
Active
Parent organization
CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Authorized official
PAUL STEPHEN TRIVETTE (CHIEF STRATEGY OFFICER)
(423) 914-1518
Entity
Organization
Contact information
Practice address
4409 CHAPMAN HWY STE W, KNOXVILLE, TN 37920-4326
(615) 553-1322
(615) 549-7044
Mailing address
5000 CROSSINGS CIR STE 103, MOUNT JULIET, TN 37122-8591
(615) 553-1322
(615) 549-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018422110001
—
VA
05
—
Q100025
—
TN
Enumeration date
01/15/2025
Last updated
09/18/2026
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