Organization
JOURNEYPURE WALNUT HOUSE LLC
Active
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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