Organization
CENTERSTONE OF TENNESSE INC.
Active
Parent organization
CENTERSTONE OF TENNESSE INC.
Other names
Centerstone of Jacksonville FL Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERSTONE OF TENNESSE INC.
Authorized official
KAREN LYNETTE KEENE (SECURITY OFFICER, IT TECHNOLOGY SUP)
(615) 463-6523
Entity
Organization
Contact information
Practice address
7011 A C SKINNER PKWY, JACKSONVILLE, FL 32256-6954
(904) 431-3500
(904) 431-3501
Mailing address
PO BOX 197520, NASHVILLE, TN 37219-7520
(615) 463-6669
(615) 463-6506
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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