Organization
TENNESSEE RECOVERY CLINIC LLC
Active
Parent organization
TENNESSEE RECOVERY CLINIC LLC
Other names
Tennessee Recovery Clinic LLC, Harold Connell
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE RECOVERY CLINIC LLC
Authorized official
MS. KIMBERLY PAIGE MORRISON (DIRECTOR OF CLINICAL COMPLIANCE)
(512) 278-4994
Entity
Organization
Contact information
Practice address
131 EDENWOLD RD, MADISON, TN 37115-2428
(615) 600-5964
Mailing address
131 EDENWOLD RD, MADISON, TN 37115-2428
(615) 600-5964
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025689
STATE OF TN.
TN
Enumeration date
12/01/2020
Last updated
05/19/2022
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