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BEHAVIORAL HEALTH OF GREENEVILLE, INC., AHC Facilities / Mental Health (Including Community Mental Health Center)

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Stethoscope
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BEHAVIORAL HEALTH OF GREENEVILLE, INC.

NPI Number 1992777841
State Identifier(s) Tennessee Medicaid #3926726
Tennessee Medicare ID #3926726
Tennessee Medicare UPIN #A99555
Tennessee Medicaid #3882277
Tennessee Medicare ID #3882277
Group Name BEHAVIORAL HEALTH OF GREENEVILLE, INC.
Credentials - Lic #: (Tennessee)
Mailing Address Confidential
Business Address 122 VILLAGE DR
SUITE 1
GREENEVILLE, TN 37745-4228

Phone (423) 787-0238 Fax (423) 787-0796
Name TIMOTHY J SULLIVAN - (MEDICAL DIRECTOR)
Primary Specialty AHC Facilities / Mental Health (Including Community Mental Health Center)
Additional Specialties
Last Modified 07/09/2007
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