Individual provider · Type 1 NPI

Mary Katherine Hane

Mental Illness Community Based Residential Treatment Facility · Tullahoma, TN

NPI number 1144623620 Active

Practice location

207 W Blackwell St
Tullahoma, TN 37388-3395

Call (931) 461-0290 Map

Mailing address

11331 Tullahoma Hwy
Tullahoma, TN 37388-6015

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X621674308 (TN)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

20 other providers at this address

About NPI 1144623620

Mary Katherine Hane's National Provider Identifier is 1144623620, issued on Sep 29, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tullahoma, TN. The record was last updated on Sep 29, 2014.