Clarksville Addiction Recovery
Clinic/Center, Rehabilitation, Substance Use Disorder in Clarksville, TN. Organization (NPI-2).
NPI number1164030656
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1164030656
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarksville Addiction Recovery
- Organization subpart
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
1823 Memorial DrClarksville, TN 37043-4604
Phone 931-919-2742 · Fax 931-919-2743
Mailing address
1823 Memorial DrClarksville, TN 37043-4604
Phone 931-919-2742 · Fax 931-919-2743
Authorized official
Hunter Wood
Clinic Director
6155128998
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