Organization · Type 2 NPI
Tennessee Addiction LLC
Substance Use Disorder Rehabilitation Clinic/Center · Knoxville, TN
NPI number
1053915199
Active
Practice location
4820 Old Kingston Pike Ste 100
Knoxville, TN 37919-6424
Mailing address
PO Box 440832
Kennesaw, GA 30160-9514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1053915199
Tennessee Addiction LLC's National Provider Identifier is 1053915199, issued on Nov 30, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Knoxville, TN. The record was last updated on Mar 16, 2022.