Organization
RENAISSANCE RECOVERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINEY SHANNON DYER (ADMINISTRATOR)
(865) 474-1299
Entity
Organization
Contact information
Practice address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 474-1299
Mailing address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 474-1299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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