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Organization

LINKED COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE SHERFEY (MEMBER)
(423) 631-0622
Entity
Organization

Contact information

Practice address
2514 WESLEY ST, SUITE 102, JOHNSON CITY, TN 37601-1764
(423) 631-0622
(423) 631-0623
Mailing address
PO BOX 4272, JOHNSON CITY, TN 37602-4272
(423) 631-0622
(423) 631-0623

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
717334
TN

Other

Enumeration date
05/03/2013
Last updated
05/03/2013
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