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Organization

CGC SUPPORTIVE LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY EARL SMITH (CO-OWNER)
(615) 554-2508
Entity
Organization

Contact information

Practice address
711 JOHNSON ST, MURFREESBORO, TN 37130-5129
(615) 895-9751
Mailing address
1668 MIDDLE TENNESSEE BLVD, MURFREESBORO, TN 37130-5108
(615) 890-3438

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
L000000010545
TN

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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