Organization
FORTWOOD CENTER, INC.
Active
Parent organization
MENTAL HEALTH CENTERS & CLINICS OF FORTWOOD CENTER, INC.
Other names
Rosewood 4
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH CENTERS & CLINICS OF FORTWOOD CENTER, INC.
Authorized official
MRS. MELISSA QUEEN-PENNINGTON (CFO)
(423) 266-6751
Entity
Organization
Contact information
Practice address
1508 OLD RINGGOLD RD, CHATTANOOGA, TN 37404-5444
(423) 266-6751
(423) 763-4650
Mailing address
1028 E 3RD ST, CHATTANOOGA, TN 37403-2107
(423) 266-6751
(423) 266-6751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L000000003950
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3399761
—
TN
Enumeration date
06/16/2009
Last updated
06/16/2009
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