Organization
TRINITY COMMUNITY COALITION OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SEGREST (EXECUTIVE DIRECTOR)
(901) 281-7480
Entity
Organization
Contact information
Practice address
4466 ELVIS PRESLEY BLVD STE 260, MEMPHIS, TN 38116
(901) 729-7180
Mailing address
4466 ELVIS PRESLEY BLVD STE 260, MEMPHIS, TN 38116-7132
(901) 729-7180
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
20843
TN
324500000X
Substance Abuse Rehabilitation Facility
Primary
20843
TN
Other
Enumeration date
05/31/2018
Last updated
06/07/2018
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