Organization
ABS LINCS TN INC
Active
Other names
Cumberland Hall - Chattanooga
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUREKA C. DAYE BA, MA, MS (CHIEF EXECUTIVE OFFICE)
(423) 499-9007
Entity
Organization
Contact information
Practice address
7351 STANDIFER GAP RD, CHATTANOOGA, TN 37421-8404
(423) 499-9007
(423) 499-9757
Mailing address
7351 COURAGE WAY, CHATTANOOGA, TN 37421-8404
(423) 499-9007
(423) 499-9757
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
L 2(16)M2-115-1103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000928936B
—
GA
05
—
0339628 00
—
DC
05
—
0444983
—
TN
05
—
1507402
—
TX
05
—
401873700
—
MD
05
—
53-01907140
—
PA
05
—
8388202
—
NJ
Enumeration date
08/10/2006
Last updated
08/17/2018
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