Organization
COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION, LLC
Active
Organization
COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION, LLC
Active
Other names
Rapha Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CLIFTON CHESTER LPC-MHSP (EXECUTIVE DIRECTOR)
(931) 444-1000
Entity
Organization
Contact information
Practice address
482 INTERSTATE DR, SUITE D, MANCHESTER, TN 37355-3485
(931) 444-1000
(931) 450-8256
Mailing address
482 INTERSTATE DR, SUITE D, MANCHESTER, TN 37355-3485
(931) 444-1000
(931) 450-8256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3079
TN
1041C0700X
Clinical Social Worker
Primary
LSW000000003614
TN
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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