Organization
CONCORD RECOVERY CENTER
Active
Other names
Concord Recovery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRISSY L SHANK (BILLING)
(931) 761-5732
Entity
Organization
Contact information
Practice address
601 S CONCORD ST STE 108, KNOXVILLE, TN 37919-3339
(865) 985-0371
(865) 985-0649
Mailing address
601 S CONCORD ST STE 108, KNOXVILLE, TN 37919-3339
(865) 985-0371
(865) 985-0649
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/12/2019
Last updated
05/25/2021
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