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Organization

CENTERSTONE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODERICK MARQUEZ JESZ (CRISIS CARE CONSULTANT)
(615) 463-6600
Entity
Organization

Contact information

Practice address
7308 SMOKEY HILL RD, CANE RIDGE, TN 37013-6803
(615) 206-7875
(615) 206-7875
Mailing address
7308 SMOKEY HILL RD, CANE RIDGE, TN 37013-6803
(615) 206-7875
(615) 206-7875

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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