Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Other names
Senior Behavioral Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA HUTSON (BUSINESS OFFICE)
(931) 319-4231
Entity
Organization
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-2004
(815) 876-2008
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 876-2004
(815) 876-2008
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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