Tennessee Recovery Clinic LLC
Substance Abuse Rehabilitation Facility in Madison, TN. Organization (NPI-2).
NPI number1316542012
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1316542012
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Recovery Clinic LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2020
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Harold Connell (Other Name)
- Tennessee Recovery Clinic LLC (Other Name)
Practice location
131 Edenwold RdMadison, TN 37115-2428
Phone 615-600-5964
Mailing address
131 Edenwold RdMadison, TN 37115-2428
Phone 615-600-5964
Authorized official
Kimberly Paige Morrison
Director Of Clinical Compliance
5122784994
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