Organization
GREENCARE MENTAL HEALTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES GREEN (CEO)
(615) 238-4638
Entity
Organization
Contact information
Practice address
203 5TH AVE E STE 100, SPRINGFIELD, TN 37172-2420
(615) 380-8974
(615) 457-2199
Mailing address
203 5TH AVE E STE 100, SPRINGFIELD, TN 37172-2420
(615) 380-8974
(615) 457-2199
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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