Organization
NASHVILLE DETOX LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON PRUITT (CEO)
(615) 400-5005
Entity
Organization
Contact information
Practice address
327 HAYWOOD LN, NASHVILLE, TN 37211-5424
(615) 294-4222
Mailing address
4235 HILLSBORO PIKE STE 300, NASHVILLE, TN 37215-3344
(615) 400-5005
(888) 490-2118
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00109777
LLC.
—
Enumeration date
06/23/2020
Last updated
11/12/2024
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