Organization
LIVE THE DREAM CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J PHILLIPS CLERGY (PASTOR)
(615) 674-4326
Entity
Organization
Contact information
Practice address
3343 SYCAMORE CREEK RD, WOODBURY, TN 37190-5025
(615) 674-4326
Mailing address
3343 SYCAMORE CREEK RD, WOODBURY, TN 37190-5025
(615) 674-4326
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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