Organization · Type 2 NPI

Fortwood Center, Inc.

Community/Behavioral Health Agency · Chattanooga, TN

NPI number 1366679409 Active

Practice location

1508 Old Ringgold Rd
Chattanooga, TN 37404-5444

Call (423) 266-6751 Map

Fax (423) 763-4650

Mailing address

1028 E 3rd St
Chattanooga, TN 37403-2107

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	L000000003950 (TN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

27 other providers at this address

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NPI record

NPI: 1366679409
Entity type: Organization (Type 2)
Issued: Jun 16, 2009
Last updated: Jun 16, 2009
Status: Active
Subpart: Yes of Mental Health Centers & Clinics of Fortwood Center, Inc.

Other names

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Rosewood 4 · other name

Authorized official

Mrs. Melissa Queen-Pennington
CFO
(423) 266-6751

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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 1366679409

Fortwood Center, Inc.'s National Provider Identifier is 1366679409, issued on Jun 16, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chattanooga, TN. The record was last updated on Jun 16, 2009.