Organization
RENAISSANCE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY TUCK SKINNER JR. (PROJECT MANAGER/ADMINISTRATOR)
(850) 624-6022
Entity
Organization
Contact information
Practice address
9051 EXECUTIVE PARK DR, SUITE 202, KNOXVILLE, TN 37923-4606
(865) 240-3357
Mailing address
9051 EXECUTIVE PARK DR, SUITE 202, KNOXVILLE, TN 37923-4606
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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