Organization
LAKEWAY ACHIEVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE LOU GUTHRIE D.O (DIRECTOR OF OPERATIONS)
(423) 586-2196
Entity
Organization
Contact information
Practice address
320 INDUSTRIAL AVE, MORRISTOWN, TN 37813-1106
(423) 586-2196
(423) 317-8880
Mailing address
320 INDUSTRIAL AVE, MORRISTOWN, TN 37813-1106
(423) 586-2196
(423) 317-8880
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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