Individual provider · Type 1 NPI

Latoya Shuntea McCollough

Mental Illness Community Based Residential Treatment Facility · Clarksville, TN

NPI number 1225366677 Active

Practice location

118 Union St
Clarksville, TN 37040-5115

Call (931) 647-8257 Map

Fax (931) 647-8257

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

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.

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About NPI 1225366677

Latoya Shuntea McCollough's National Provider Identifier is 1225366677, issued on Nov 23, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clarksville, TN. The record was last updated on Nov 23, 2009.