Organization
BREAKTHROUGH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH A RITCHIE (EXECUTIVE DIRECTOR)
(865) 247-0065
Entity
Organization
Contact information
Practice address
900 EAST HILL AVE, SUITE 145, KNOXVILLE, TN 37915
(865) 247-0065
(865) 247-0066
Mailing address
900 EAST HILL AVE, SUITE 145, KNOXVILLE, TN 37915
(865) 247-0065
(865) 247-0066
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L3(32)4M30171727
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L3(32)4M30171727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E49
MR SERVICES NUMBER
TN
Enumeration date
01/29/2007
Last updated
05/13/2016
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