Individual
JAMES BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(931) 721-3313
Mailing address
97 FITZGERALD DR, ERIN, TN 37061-5649
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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