Organization
INDEPENDANCE ADULT TREATMENT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONYA LONG (CO-OWNER)
(404) 510-2058
Entity
Organization
Contact information
Practice address
709 DODDS AVE, CHATTANOOGA, TN 37404-3913
(423) 521-3083
(423) 289-3567
Mailing address
709 DODDS AVE, CHATTANOOGA, TN 37404-3913
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
I000000012355
TN
Other
Enumeration date
02/11/2013
Last updated
08/06/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up