Organization
CLEAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA K. JONES LMSW/LADAC II (CEO)
(901) 430-6451
Entity
Organization
Contact information
Practice address
3146 WRITE PL APT 4, MEMPHIS, TN 38128-4535
(901) 430-6451
Mailing address
3146 WRITE PL APT 4, MEMPHIS, TN 38128-4535
(901) 430-6451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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