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Organization

COMMUNITY DEVELOPMENT CENTER

Active
Other names
Child Development Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT JACOBI (BUSINESS MANAGER)
(931) 684-8681
Entity
Organization

Contact information

Practice address
1600 JASON MAXWELL BLVD, LEWISBURG, TN 37091-2018
(931) 359-1197
Mailing address
113 EAGLETTE WAY, SHELBYVILLE, TN 37160-9263
(931) 684-8681
(931) 684-9431

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
06/13/2016
Last updated
11/06/2017
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