Organization
SECOND CHANCES OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY RENEE COX BS (PROGRAM DIRECTOR)
(931) 267-4809
Entity
Organization
Contact information
Practice address
21 E STANLEY ST, STE 103, CROSSVILLE, TN 38555-3200
(931) 267-4809
Mailing address
21 E STANLEY ST, 103, CROSSVILLE, TN 38555-3200
(931) 267-4809
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
TN
Other
Enumeration date
03/01/2009
Last updated
03/02/2009
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