Organization
CRC HEALTH TENNESSEE, LLC
Active
Other names
Mirror Lake Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
999 GIRL SCOUT RD, BURNS, TN 37029
(615) 446-7034
(615) 446-7061
Mailing address
6100 TOWER CIR STE 1000, FRANKLIN, TN 37067-1509
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
7378
TN
324500000X
Substance Abuse Rehabilitation Facility
0000000116
TN
324500000X
Substance Abuse Rehabilitation Facility
Primary
7378
TN
Other
Enumeration date
03/09/2007
Last updated
08/28/2023
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