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Organization

TENNESSEE ADDICTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SPENCER STEIN (DIRECTOR)
(865) 205-2770
Entity
Organization

Contact information

Practice address
4820 OLD KINGSTON PIKE STE 100, KNOXVILLE, TN 37919-6424
(865) 205-2770
Mailing address
PO BOX 440832, KENNESAW, GA 30160-9514

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
11/30/2020
Last updated
03/16/2022
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