Organization
CRC HEALTH TENNESSEE, INC.
Active
Other names
New Life Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
102 N CEDAR AVE, COOKEVILLE, TN 38501-2417
(931) 520-4270
Mailing address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(800) 365-3899
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
I000000007134
TN
Other
Enumeration date
12/07/2010
Last updated
08/28/2023
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