Organization
NEW HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIA SMITH (EXECUTIVE DIRECTOR)
(865) 947-3777
Entity
Organization
Contact information
Practice address
8001 CONNER ROAD STE102, POWELL, TN 37849
(865) 947-3777
(865) 947-6777
Mailing address
8001 CONNER RD STE 102, POWELL, TN 37849-3104
(865) 947-3777
(865) 947-6777
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000015356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L000000015356
—
TN
Enumeration date
08/09/2017
Last updated
06/16/2025
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