Organization
CENTERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HIGHFIELD LADAC (CLINIC MANAGER)
(931) 796-5916
Entity
Organization
Contact information
Practice address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 490-1500
Mailing address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
19367
TN
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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