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NPI Profile for 180 RED INC in CLARKSVILLE, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1679389100 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/09/2024 | |
| Last updated | 12/09/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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180 RED INC
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180 RED INC