Organization
LA PALOMA TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (EVP-CHIEF FINANCIAL OFFICER)
(610) 382-3319
Entity
Organization
Contact information
Practice address
2009 LAMAR AVENUE, MEMPHIS, TN 38114-2138
(615) 345-3217
(615) 373-4656
Mailing address
1000 HEALTH PARK DRIVE, BUILDING THREE, SUITE 400, BRENTWOOD, TN 37027
(615) 386-7255
(615) 645-7445
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
I 2(14)M2-077-9751
TN
261QM0850X
Adult Mental Health Clinic/Center
L 2(14)M3-017-6472
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0000000032
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0000000109
TN
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
L000000010053
TN
323P00000X
Psychiatric Residential Treatment Facility
L 217-017-6471
TN
324500000X
Substance Abuse Rehabilitation Facility
0000000109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3105734
BCBST PROVIDER ID
TN
Enumeration date
07/26/2005
Last updated
05/20/2019
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