Organization
CENTERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUINCY JEROME ACKLIN BA (CASE MANAGER)
(615) 460-4359
Entity
Organization
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 804-9404
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 804-9404
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/11/2008
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