Organization
GATEHOUSE TREATMENT OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KELLY (CHIEF BILLING OFFICER)
(561) 515-8947
Entity
Organization
Contact information
Practice address
320 HOSPITAL DR, MADISON, TN 37115-4287
(561) 515-8947
Mailing address
320 HOSPITAL DR, MADISON, TN 37115-4287
(561) 335-5681
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
10/28/2022
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