# GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY

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

## Provider details

- **NPI number:** 1609949007
- **Authorized official:** HENRY CROCKETT MEECE PHD (CHIEF OFFICER)
- **Authorized official phone:** (423) 787-6568

## Contact information

- **Practice address:** 4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
- **Practice address phone:** (423) 378-7665
- **Practice address fax:** (423) 787-6776
- **Mailing address:** PO BOX 910, GREENEVILLE, TN 37744-0910
- **Mailing address phone:** (423) 378-7665
- **Mailing address fax:** (423) 787-6776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 711 | TN | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 11/29/2007