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Organization

BEHAVIORAL HEALTH OF ROCKY TOP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HARRELL (AR MANAGER)
(865) 218-8966
Entity
Organization

Contact information

Practice address
210 INDUSTRIAL PARK LN, ROCKY TOP, TN 37769-2301
(865) 392-9200
Mailing address
210 INDUSTRIAL PARK LN, ROCKY TOP, TN 37769-2301
(865) 392-9200

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q046356
TN
Enumeration date
01/25/2021
Last updated
01/25/2021
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