Organization
TEN BROECK HEALTHCARE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA GUY (PMHNP)
(931) 783-2570
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2570
Mailing address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2570
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
21657
TN
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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