Organization
MENTAL HEALTH COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DESIRIE VESTAL (CASE MANAGER)
(615) 744-7429
Entity
Organization
Contact information
Practice address
116 BLACKSTONE PL APT B, NASHVILLE, TN 37210-5401
(615) 744-7429
Mailing address
116 BLACKSTONE PL APT B, NASHVILLE, TN 37210-5401
(615) 744-7429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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