Organization
CENTERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY ANDRE HAYNES BS (CASE MANAGER)
(615) 460-4572
Entity
Organization
Contact information
Practice address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4572
Mailing address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4572
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/11/2008
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