Organization
TENNESSEE OUTPATIENT DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM TREBOUTAT (OWNER)
(415) 548-3083
Entity
Organization
Contact information
Practice address
213 OVERLOOK CIR STE A4, BRENTWOOD, TN 37027-2703
(859) 304-4047
Mailing address
213 OVERLOOK CIR STE A4, BRENTWOOD, TN 37027-2703
(859) 304-4047
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/26/2026
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