Organization
INNOVATIVE CARE SOLUTIONS
Active
Other names
Innovative Care Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRAMY CANTRELL (OWNER)
(931) 761-5732
Entity
Organization
Contact information
Practice address
2307 W ANDREW JOHNSON HWY STE 113, MORRISTOWN, TN 37814-8500
(423) 839-0720
Mailing address
2307 W ANDREW JOHNSON HWY STE 113, MORRISTOWN, TN 37814-8500
(423) 839-0720
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060972
—
TN
Enumeration date
09/11/2019
Last updated
12/08/2020
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