Organization
COMMUNITY TIES OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC W. BROWN (DIRECTOR OF OPERATIONS)
(615) 661-4544
Entity
Organization
Contact information
Practice address
214 OVERLOOK CIRCLE, SUITE 105, BRENTWOOD, TN 37027
(615) 661-4544
(615) 661-4505
Mailing address
214 OVERLOOK CIRCLE, SUITE 105, BRENTWOOD, TN 37027
(615) 661-4544
(615) 661-4505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445794
—
TN
05
—
1G-361
—
HI
05
—
686869096
—
FL
05
—
686869098
—
FL
05
—
7100060230
—
KY
Enumeration date
03/15/2006
Last updated
08/27/2010
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