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Organization
COMMUNITY DEVELOPMENT CENTER
Active
Organization
COMMUNITY DEVELOPMENT CENTER
Active
Other names
Child Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JACOBI (BUSINESS MANAGER)
(931) 684-8681
Entity
Organization
Contact information
Practice address
1600 JASON MAXWELL BLVD, LEWISBURG, TN 37091-2018
(931) 359-1197
Mailing address
113 EAGLETTE WAY, SHELBYVILLE, TN 37160-9263
(931) 684-8681
(931) 684-9431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/13/2016
Last updated
11/06/2017
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