Organization
NICHOLAS MATTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JEANINE STORY (ADMINISTRATOR)
(731) 439-6530
Entity
Organization
Contact information
Practice address
191 CRABTREE ROAD, SELMER, TN 38375
(731) 439-6560
Mailing address
191 CRABTREE RD, SELMER, TN 38375-6235
(731) 439-6530
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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