Organization · Type 2 NPI

Vcphcs Xvii, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Columbia, TN

NPI number 1508202524 Active

Practice location

1202 S James Campbell Blvd, Suite 7A
Columbia, TN 38401-5193

Fax (931) 381-0029

Mailing address

5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-3946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Methadone Clinic 261QM2800XL000000012587 (TN)
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1508202524

Vcphcs Xvii, LLC's National Provider Identifier is 1508202524, issued on May 16, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Columbia, TN. The record was last updated on Dec 26, 2024.