Organization
BLUEBIRD RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY J TANKERSLEY (OFFICE MANAGER)
(931) 841-3311
Entity
Organization
Contact information
Practice address
127 LEDFORD MILL RD STE B, TULLAHOMA, TN 37388-2278
(931) 841-3311
(931) 841-3314
Mailing address
127 LEDFORD MILL RD STE B, TULLAHOMA, TN 37388-2278
(931) 841-3311
(931) 841-3314
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/04/2023
Last updated
09/28/2023
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