Organization
MADISON BEHAVIORAL HEALTH, LLC
Active
Organization
MADISON BEHAVIORAL HEALTH, LLC
Active
Parent organization
HTI HOSPITAL HOLDINGS, INC.
Other names
MADISON BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
HTI HOSPITAL HOLDINGS, INC.
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
600 MEDICAL PARK DR, SUITE 204, MADISON, TN 37115-4253
(615) 860-6500
Mailing address
600 MEDICAL PARK DR, SUITE 204, MADISON, TN 37115-4253
(615) 860-6500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734151
—
TN
Enumeration date
05/25/2006
Last updated
08/29/2007
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