Organization
FAIRHAVEN TREATMENT CENTER
Active
Organization
FAIRHAVEN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN GRAY (BUSINESS MANAGER)
(901) 757-7979
Entity
Organization
Contact information
Practice address
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018-6614
(901) 757-7979
Mailing address
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018-6614
(901) 757-7979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14387
TN
261QM0850X
Adult Mental Health Clinic/Center
14387
TN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
14387
TN
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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