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Organization

WEST TENNESSEE HEALTHCARE HENRY COUNTY

Active
Other names
Henry County Lake Haven Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
TINA PRESCOTT (INTERIM PRESIDENT AND CEO)
(731) 541-6767
Entity
Organization

Contact information

Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(731) 642-1220
(731) 644-8587
Mailing address
301 TYSON AVENUE, PARIS, TN 38242-4544
(731) 642-1220
(731) 644-8584

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
000000057
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440132
TN
05
044S132
TN
Enumeration date
10/04/2006
Last updated
10/09/2024
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