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Organization

THE PATRICIA HALL TALBOTT LEGACY CENTERS, LLC

Active
Other names
Talbott Legacy Centers
Organization subpart
No

Provider details

NPI number
Authorized official
ZACHARY CHARLES TALBOTT LMSW, LADAC, MAC (PRESIDENT)
(865) 724-0852
Entity
Organization

Contact information

Practice address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 964-5748
Mailing address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 724-0852
(865) 724-0853

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
07/02/2020
Last updated
11/06/2021
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