Organization
SAFE ENTRY, INC
Active
Other names
Safe Entry Community Housing & Support Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PERRION CARLEW GORDON (EXECUTIVE DIRECTOR)
(615) 596-7147
Entity
Organization
Contact information
Practice address
467 MYATT DR, MADISON, TN 37115-3024
(615) 860-2244
(615) 860-2270
Mailing address
483 MYATT DR, MADISON, TN 37115-3024
(615) 818-0892
(615) 750-2972
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
TN
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TN
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/04/2007
Last updated
11/16/2022
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