Organization
CENTERSTONE OF TENNESSEE
Active
Parent organization
CENTERSTONE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERSTONE
Authorized official
MR. DORRESS ROY GARBUTT (COMMUNITY HELTH WORKER)
(615) 887-9872
Entity
Organization
Contact information
Practice address
620 GALLATIN RD, MADISON, TN 37115
(615) 598-3710
Mailing address
620 GALLATIN RD, MADISON, TN 37115
(615) 598-3710
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
172V00000X
TN
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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