Organization
CENTERSTONE
Active
Organization
CENTERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI PACKWOOD (HRSA CARE COORDINATOR)
(931) 306-9684
Entity
Organization
Contact information
Practice address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
(931) 796-5916
Mailing address
912 SUMMERTOWN HWY, HOHENWALD, TN 38462-5703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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