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Organization

VETERANS AFFAIRS HOSPITAL (MEMPHIS)

Active
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Organization

VETERANS AFFAIRS HOSPITAL (MEMPHIS)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. C. DIANE KNIGHT M.D. (MEDICAL DIRECTOR)
(901) 577-7200
Entity
Organization

Contact information

Practice address
1030 JEFFERSON AVE, DEPARTMENT OF MENTAL HEALTH/CHEMICAL DEPENDENCY CENTER, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7467
Mailing address
1030 JEFFERSON AVE, DEPARTMENT OF MENTAL HEALTH/CHEMICAL DEPENDENCY CENTER, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7467

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LH0169
MS

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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