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Generations Gaithier Mental Health

Clinic/Center, Mental Health (Including Community Mental Health Center) in Cookeville, TN. Organization (NPI-2).

NPI number1962797399
StatusActive
Last updated in NPPESJun 14, 2011

Details

NPI
1962797399
Entity type
Organization (NPI-2)
Legal business name
Generations Gaithier Mental Health
Organization subpart
No
Enumeration date
Jun 14, 2011
Last updated
Jun 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)LPN0000071144TNYes
323P00000X Psychiatric Residential Treatment FacilityLPN0000071144TN

Practice location

1080 Neal St
Suite 101
Cookeville, TN 38501-0942

Phone 931-528-8593

Mailing address

375 Norrod Ln
Monterey, TN 38574-5485

Phone 931-787-0328

Authorized official

Deborah Joyce Stewart
L.P.N.
9315288593

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