Organization
GENERATIONS GAITHIER MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JOYCE STEWART L.P.N. (L.P.N.)
(931) 528-8593
Entity
Organization
Contact information
Practice address
1080 NEAL ST, SUITE 101, COOKEVILLE, TN 38501-0942
(931) 528-8593
Mailing address
375 NORROD LN, MONTEREY, TN 38574-5485
(931) 787-0328
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPN0000071144
TN
323P00000X
Psychiatric Residential Treatment Facility
LPN0000071144
TN
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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