Organization
COMMUNITY THERAPY CENTERS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINA CABAN (DIRECTOR)
(312) 172-4589
Entity
Organization
Contact information
Practice address
115 MAIN ST S STE D, CARTHAGE, TN 37030-1940
(931) 217-2458
Mailing address
115 MAIN ST S STE D, CARTHAGE, TN 37030-1940
(931) 217-2458
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
06/12/2024
Last updated
08/07/2024
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