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Organization

CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH BOND (OWNER)
(615) 680-0110
Entity
Organization

Contact information

Practice address
1512 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 948-8882
(931) 223-8717
Mailing address
5000 CROSSINGS CIR STE 103, MOUNT JULIET, TN 37122-8591
(615) 288-1103
(615) 549-7044

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
261QM0850X
Adult Mental Health Clinic/Center
283Q00000X
Psychiatric Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q024355
TN
Enumeration date
09/27/2016
Last updated
10/24/2023
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