Organization
180 R.E.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY LYNCH (CEO)
(931) 220-1384
Entity
Organization
Contact information
Practice address
635 E MAIN ST STE 3, HENDERSONVILLE, TN 37075-2645
(931) 220-1384
Mailing address
2551 ELKMONT DR, CLARKSVILLE, TN 37040-2866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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