Organization
E & C HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LEE GRAY CRT (RESPIRATORY THERAPIST)
(615) 593-6581
Entity
Organization
Contact information
Practice address
208 HAYNES PARK DR, NASHVILLE, TN 37218-1928
(615) 593-6581
(615) 822-1869
Mailing address
208 HAYNES PARK DR, NASHVILLE, TN 37218-1928
(615) 593-6581
(615) 822-1869
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
I000000013771
TN
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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