Organization
MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE
Active
Other names
FORTWOOD CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA QUEEN-PENNINGTON (CFO)
(423) 266-6751
Entity
Organization
Contact information
Practice address
1028 E 3RD ST, CHATTANOOGA, TN 37403-2107
(423) 266-6751
(423) 763-4650
Mailing address
6049 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 266-6751
(423) 763-4650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L214-076-1367
TN
Other
Enumeration date
02/27/2007
Last updated
10/15/2011
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