# WOODRIDGE OF TENNESSEE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Oaks Academy, Perimeter Behavioral of Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699926386
- **Authorized official:** ROCHELLE GERBER (DIRECTOR OF ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (470) 554-7903

## Contact information

- **Practice address:** 49 OLD HICKORY BLVD, JACKSON, TN 38305-4551
- **Practice address phone:** (731) 668-5880
- **Practice address fax:** (731) 668-5870
- **Mailing address:** 2520 NORTHWINDS PKWY STE 550, ALPHARETTA, GA 30009-2236
- **Mailing address phone:** (470) 554-7903
- **Mailing address fax:** (470) 300-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | L000000002976 | TN | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 01/02/2020