Organization
CENTERSTONE OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE PORCHIA (EARLY CHILDHOOD SPECIALIST)
(931) 920-7200
Entity
Organization
Contact information
Practice address
404 PAGEANT LN, CLARKSVILLE, TN 37040-3865
(931) 920-7200
Mailing address
404 PAGEANT LN, CLARKSVILLE, TN 37040-3865
(931) 920-7200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
11/06/2012
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