Organization
LIBERTY REHABILITATION CENTER
Active
Other names
LRC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW TERRY (FOUNDER)
(901) 598-5610
Entity
Organization
Contact information
Practice address
749 TATE AVE, MEMPHIS, TN 38126-3616
(901) 691-6950
Mailing address
749 TATE AVE, MEMPHIS, TN 38126-3616
(901) 691-6950
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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