Individual provider · Type 1 NPI
Donovan C. McLeod
Mental Illness Community Based Residential Treatment Facility · Chattanooga, TN
NPI number
1619552304
Active
Practice location
4704 Kenwood Ave
Chattanooga, TN 37411-3805
Mailing address
PO Box 80925
Chattanooga, TN 37414-7925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | L000000026251 (TN) |
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.
Another provider at this address
About NPI 1619552304
Donovan C. McLeod's National Provider Identifier is 1619552304, issued on Mar 14, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Chattanooga, TN. The record was last updated on Mar 14, 2021.