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Organization

TRANQUIL JC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA DELONG (OWNER)
(423) 430-9362
Entity
Organization

Contact information

Practice address
2700 S ROAN ST STE 212, JOHNSON CITY, TN 37601-7557
(423) 430-9362
Mailing address
3113 INDIAN RIDGE RD, JOHNSON CITY, TN 37604-2339

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/10/2020
Last updated
09/10/2020
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