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Organization

THE SOLUTION SOURCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN KEITH PETERS (EXECUTIVE DIRECTOR)
(865) 599-2367
Entity
Organization

Contact information

Practice address
4038 GAP RD, KNOXVILLE, TN 37912-5903
(865) 525-0391
(865) 321-8833
Mailing address
4038 GAP RD, KNOXVILLE, TN 37912-5903
(865) 525-0391
(865) 321-8833

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1503129
TN
Enumeration date
12/17/2007
Last updated
03/19/2013
About Stedi
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