Organization
CG OF TENNESSEE, LLC
Active
Other names
Omni Support SOlutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LASHLEY (CEO)
(817) 447-2700
Entity
Organization
Contact information
Practice address
301 S PERIMETER PARK DR, NASHVILLE, TN 37211-4143
(615) 832-5454
(615) 837-5772
Mailing address
4150 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4892
(800) 299-5161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PENDING
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
09/01/2017
Last updated
12/12/2025
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