Organization
IMPACT CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY GRAVES (EXECUTIVE DIRECTOR)
(931) 381-2114
Entity
Organization
Contact information
Practice address
1209 TRADEWINDS DR, COLUMBIA, TN 38401-4607
(931) 381-2114
Mailing address
1209 TRADEWINDS DR, COLUMBIA, TN 38401-4607
(931) 381-2114
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
L3(20)4M4-036-3271
TN
Other
Enumeration date
02/08/2007
Last updated
06/03/2015
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