Organization
DEPT. OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRODERICK EUGENE BURKE (ADDICTION THERAPIST)
(615) 867-6000
Entity
Organization
Contact information
Practice address
3400 LEBANON RD BLDG 11, MURFREESBORO, TN 37129-1237
(615) 867-6000
Mailing address
3400 LEBANON RD BLDG 11, MURFREESBORO, TN 37129-1237
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
LDC0000000860
TN
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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