Organization · Type 2 NPI

Tennessee Recovery Clinic LLC

Substance Abuse Rehabilitation Facility · Madison, TN

NPI number 1316542012 Active

Practice location

131 Edenwold Rd
Madison, TN 37115-2428

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1316542012
Entity type: Organization (Type 2)
Issued: Dec 1, 2020
Last updated: May 19, 2022
Status: Active
Subpart: Yes of Tennessee Recovery Clinic LLC

Other names

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Harold Connell · other name
Harold Connell · other name
Tennessee Recovery Clinic LLC · other name

Authorized official

Ms. Kimberly Paige Morrison
Director of Clinical Compliance
(512) 278-4994

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316542012

Tennessee Recovery Clinic LLC's National Provider Identifier is 1316542012, issued on Dec 1, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Madison, TN. The record was last updated on May 19, 2022.