Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA OUTPATIENT BEHAVIORAL SERVICES
Active
Other names
Takoma Outpatient Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLIN RICHARDS (CFO)
(423) 636-2376
Entity
Organization
Contact information
Practice address
303 TAKOMA AVE, GREENEVILLE, TN 37743-4629
(423) 636-0491
Mailing address
303 TAKOMA AVE, GREENEVILLE, TN 37743-4629
(423) 636-0491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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