Organization
THE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL MAPLESDEN CPC, CHC, CHPC (DIRECTOR OF REVENUE CYCLE)
(615) 510-3078
Entity
Organization
Contact information
Practice address
6107 PINEWOOD RD, NUNNELLY, TN 37137-2523
(954) 587-7771
(954) 252-2177
Mailing address
PO BOX 670532, DALLAS, TX 75267-0532
(615) 567-7282
(615) 807-2931
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
L000000017855
TN
324500000X
Substance Abuse Rehabilitation Facility
Primary
L000000003995
TN
Other
Enumeration date
06/18/2009
Last updated
09/19/2016
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