Organization · Type 2 NPI

Lamont Ingram Developmental Organization for At-Risk Children

Substance Abuse Rehabilitation Facility · Jackson, TN

NPI number 1588973309 Active

Practice location

95 Riverport Dr
Jackson, TN 38301-5748

Call (731) 736-1109 Map

Fax (731) 300-0259

Other practice locations

437 Riverside Dr, Jackson, TN 38301-5720 · (731) 736-1109

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.

2 other providers at this address

Other substance abuse rehabilitation facility providers in Jackson

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NPI record

NPI: 1588973309
Entity type: Organization (Type 2)
Issued: Sep 28, 2010
Last updated: Aug 6, 2024
Status: Active

Other names

<unavail>
Caring Hands Developmental Services · doing business as
New Beginnings Treatment Center · doing business as

Authorized official

Robert Lamont Ingram
Founder/president/ceo
(731) 736-1109

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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 1588973309

Lamont Ingram Developmental Organization for At-Risk Children's National Provider Identifier is 1588973309, issued on Sep 28, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jackson, TN. The record was last updated on Aug 6, 2024.