Organization
BROOKHAVEN RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE DAWES (FOUNDER)
(865) 712-2100
Entity
Organization
Contact information
Practice address
1016 IC KING RD, SEYMOUR, TN 37865-3150
(865) 573-3656
Mailing address
1016 IC KING RD, SEYMOUR, TN 37865-3150
(865) 573-3656
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
I2170969083
TN
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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