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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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