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Organization

COMPREHENSIVE BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN G BROWN (OWNER)
(731) 256-2006
Entity
Organization

Contact information

Practice address
384D CARRIAGE HOUSE DRIVE, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007
Mailing address
384D CARRIAGE HOUSE DRIVE, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN0000108574
TN
363L00000X
Nurse Practitioner
RN0000108574
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3901456
TN
05
39014561
TN
Enumeration date
06/13/2007
Last updated
05/08/2008
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