Organization
LIVE AGAIN DETOX CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN COGGINS (FOUNDER AND EXECUTIVE DIRECTOR)
(615) 434-3081
Entity
Organization
Contact information
Practice address
1618 17TH AVE S, NASHVILLE, TN 37212-2813
(615) 434-3081
Mailing address
1618 17TH AVE S, NASHVILLE, TN 37212-2813
(615) 434-3081
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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