Organization
CTR. FOR INDIVIDUAL & FAMILY EFFECTIVENESS
Active
Organization
CTR. FOR INDIVIDUAL & FAMILY EFFECTIVENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTIN R. GLENNON PH.D. (EXECUTIVE DIRECTOR)
(423) 265-7935
Entity
Organization
Contact information
Practice address
310 E. 8TH ST., STE. C, CHATTANOOGA, TN 37403
(423) 265-7935
(423) 265-8204
Mailing address
310 E. 8TH ST., STE. C, CHATTANOOGA, TN 37403
(423) 265-7935
(423) 265-8204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1000000010209
TN
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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