Organization
A.I.R.
Active
Organization
A.I.R.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI BELL (CEO)
(954) 444-7810
Entity
Organization
Contact information
Practice address
1860 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6718
(954) 444-7810
(931) 230-7505
Mailing address
1860 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6718
(954) 444-7810
(931) 230-7505
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/23/2013
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