Organization
CENTERSTONE OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COLTON LPE (MOBILE THERAPIST)
(615) 870-8415
Entity
Organization
Contact information
Practice address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4100
(615) 460-4104
Mailing address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4100
(615) 460-4104
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PE0000011780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3397960
—
TN
Enumeration date
08/28/2015
Last updated
08/28/2015
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