Organization
RENAISSANCE RECOVERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SKINNER (AUTHORIZED REPRESENTATIVE)
(865) 474-1299
Entity
Organization
Contact information
Practice address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 474-1299
(865) 474-9485
Mailing address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 474-1299
(865) 474-9485
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
I000000016301
TN
Other
Enumeration date
04/09/2015
Last updated
10/21/2015
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