TENNESSEE RECOVERY CLINIC LLC; NPI #1629618483

Contact Information

TENNESSEE RECOVERY CLINIC LLC

99 WHITE BRIDGE PIKE STE 201
NASHVILLE, TN 37205-1450

Phone: 615-600-5964
Fax: 615-600-5978
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for TENNESSEE RECOVERY CLINIC LLC

NPI # 1629618483

LBN Legal business name TENNESSEE RECOVERY CLINIC LLC

Authorized official KIMBERLY MORRISON - (DIRECTOR OF CLINICAL COMPLIANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2020

Last updated 05/19/2022 - About 4 years ago

Identifiers

Other

I000000025689

STATE OF TN.

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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