National Provider Identifier Database

TRINITY COMMUNITY COALITION OUTREACH
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

TRINITY COMMUNITY COALITION OUTREACH
4466 ELVIS PRESLEY BLVD STE 260
MEMPHIS, TN38116
Phone: 901-729-7180
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for TRINITY COMMUNITY COALITION OUTREACH

NPI Number 1437641941
Legal business name
LBN
TRINITY COMMUNITY COALITION OUTREACH
Authorized official LINDA SEGREST - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/31/2018
Last updated 06/07/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 20843

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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