Organization
MCK BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE BUTLER JR. BCBA (EXECUTIVE DIRECTOR)
(901) 387-0300
Entity
Organization
Contact information
Practice address
2843 STAGE CENTER DR, SUITE #3, BARTLETT, TN 38134-4697
(901) 387-0300
(901) 339-6611
Mailing address
PO BOX 280, CORDOVA, TN 38088-0280
(901) 387-0300
(901) 339-6611
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445397
—
TN
Enumeration date
10/06/2015
Last updated
10/16/2015
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