Organization
CHATTANOOGA RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ARIC NELSON MD (MEDICAL DIRECTOR)
(423) 208-9367
Entity
Organization
Contact information
Practice address
13 W KENT ST STE 201, CHATTANOOGA, TN 37405-9913
(423) 226-5331
Mailing address
13 W KENT ST STE 201, CHATTANOOGA, TN 37405-9913
(423) 226-5331
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000026781
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
TN
Enumeration date
07/20/2020
Last updated
12/22/2021
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