Organization
STATE OF TENNESSEE STATE F&A PAYROLL
Active
Other names
Middle Tennesse Mental Health Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB COTTERMAN (CEO)
(615) 902-7535
Entity
Organization
Contact information
Practice address
221 STEWARTS FERRY PIKE, NASHVILLE, TN 37214
(615) 902-7535
(615) 902-7544
Mailing address
221 STEWARTS FERRY PIKE, NASHVILLE, TN 37214
(615) 902-7535
(615) 902-7544
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
L2190863519
TN
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444014
—
TN
Enumeration date
02/20/2007
Last updated
07/13/2016
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