Senior Lifestyles. LLC
Clinic/Center, Adult Mental Health in Cookeville, TN. Organization (NPI-2).
NPI number1801383013
StatusActive
Last updated in NPPESApr 13, 2018
Details
- NPI
- 1801383013
- Entity type
- Organization (NPI-2)
- Legal business name
- Senior Lifestyles. LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2018
- Last updated
- Apr 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 1000000021008 | TN | Yes |
| 283Q00000X | Psychiatric Hospital | 1000000021008 | TN |
Practice location
1125 Deer Creek DrCookeville, TN 38501-6680
Phone 931-273-7900
Mailing address
723 W Jackson StCookeville, TN 38501-3993
Phone 931-273-7900
Authorized official
Brandi D Lawson
Executive Director
9312737900
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