Organization
TENNESSEE RECOVERY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PAIGE MORRISON (DIRECTOR OF CLINICAL COMPLIANCE)
(512) 731-4105
Entity
Organization
Contact information
Practice address
99 WHITE BRIDGE PIKE STE 201, NASHVILLE, TN 37205-1450
(615) 600-5964
(615) 600-5978
Mailing address
6030 NEIGHBORLY AVE, NASHVILLE, TN 37209-4423
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000025689
STATE OF TN.
TN
Enumeration date
01/09/2020
Last updated
05/19/2022
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