Organization
GRACE LAND RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT ARIC NELSON MD (MEDICAL DIRECTOR)
(404) 620-9745
Entity
Organization
Contact information
Practice address
134 TIMBER CREEK DR, CORDOVA, TN 38018-4291
(901) 519-2655
(404) 698-1497
Mailing address
134 TIMBER CREEK DR, CORDOVA, TN 38018-4291
(901) 519-2655
(404) 698-1497
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
12/22/2021
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