CRC HEALTH TENNESSEE, LLC; NPI #1770615619

Contact Information

CRC HEALTH TENNESSEE, LLC

999 GIRL SCOUT RD
BURNS, TN 37029

Phone: 615-446-7034
Fax: 615-446-7061
Website:

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

Indicates primary specialty

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NPI Profile & details for CRC HEALTH TENNESSEE, LLC

NPI # 1770615619

LBN Legal business name CRC HEALTH TENNESSEE, LLC

Authorized official BRIAN FARLEY - (VP & SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/09/2007

Last updated 08/28/2023 - About 3 years ago

Identifiers

TN	License #	0000000116
TN	License #	7378

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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