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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