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Organization

COFFEE COUNTY DRUG COURT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE LEWIS (EXECUTIVE DIRECTOR)
(931) 581-3602
Entity
Organization

Contact information

Practice address
604 COLLEGE ST, MANCHESTER, TN 37355-1769
(931) 723-3051
(931) 723-3632
Mailing address
604 COLLEGE ST, MANCHESTER, TN 37355-1769
(931) 723-3051
(931) 723-3632

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I00000001631
TN

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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