Organization
PRISCILLA PERRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNEISIA CHRISCYNTHIA HERNDON (CEO/PRESIDENT)
(704) 670-2598
Entity
Organization
Contact information
Practice address
3806 CARLYLE PL, MORRISTOWN, TN 37814-6594
(704) 670-2598
Mailing address
3806 CARLYLE PL, MORRISTOWN, TN 37814-6594
(704) 670-2598
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6532
TN
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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