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Organization

MARIPOSA BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNE M NESBITT-DECKER M.S, B.C.B.A. (DIRECTOR)
(615) 519-1160
Entity
Organization

Contact information

Practice address
5352 RYAN ALLEN CIR, WHITES CREEK, TN 37189-5205
(615) 519-1160
(615) 876-8522
Mailing address
5352 RYAN ALLEN CIR, WHITES CREEK, TN 37189-5205
(615) 876-8522

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1503348
TN
Enumeration date
12/18/2007
Last updated
04/06/2015
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