Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Other names
Senior Renewal Center: Dunn
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA HUTSON (BUSINESS OFFICE)
(931) 319-4231
Entity
Organization
Contact information
Practice address
1600 23RD ST, BEDFORD, IN 47421-4704
(812) 276-1051
(812) 276-1276
Mailing address
1600 23RD ST, BEDFORD, IN 47421-4704
(812) 276-1051
(812) 276-1276
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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