Organization
CENTERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MITCHELL (COMMUNITY SUPPORT SPECIALIST)
(615) 414-6246
Entity
Organization
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 414-6246
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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