Organization
JOURNEYPURE WALNUT HOUSE LLC
Active
Parent organization
JOURNEYPURE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOURNEYPURE, INC
Authorized official
DR. SAMUEL A MACMASTER PH.D. (CHIEF CLINICAL OFFICER)
(615) 545-7266
Entity
Organization
Contact information
Practice address
116 N WALNUT ST, MURFREESBORO, TN 37130-3522
(615) 714-0483
Mailing address
116 N WALNUT ST, MURFREESBORO, TN 37130-3522
(615) 714-0483
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1000000017205
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1000000017205
TN
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000000017205
TN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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