Organization
HOLSTON UNITED METHODIST HOME FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE J PRICE (ACCOUNTING ASSISTANT)
(423) 638-4171
Entity
Organization
Contact information
Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
Mailing address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506510
—
TN
Enumeration date
02/06/2007
Last updated
07/12/2011
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