JABBOK TREATMENT CENTER, LLC.; NPI #1740639962

Contact Information

JABBOK TREATMENT CENTER, LLC.

535 MAIN STREET
SAVANNAH, TN 38372

Phone: 731-632-2002
Fax: 731-632-2003
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	207QA0401X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for JABBOK TREATMENT CENTER, LLC.

NPI # 1740639962

LBN Legal business name JABBOK TREATMENT CENTER, LLC.

Authorized official JACQUELINE IRWIN - (OWNER/COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/08/2016

Last updated 06/08/2016 - About 10 years ago

Identifiers

TN	License #	207QA0401X
TN	Medicaid	02000211
TN	Medicaid	1521170

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JABBOK TREATMENT CENTER, LLC.

Contact Information

Specialty

Addiction Medicine

NPI Profile & details for JABBOK TREATMENT CENTER, LLC.

Reviews for JABBOK TREATMENT CENTER, LLC.