Organization · Type 2 NPI
Lifechangers Outreach
Substance Use Disorder Rehabilitation Clinic/Center · Kodak, TN
NPI number
1790291334
Active
Practice location
2450 Winfield Dunn Pkwy
Kodak, TN 37764-2100
Mailing address
404 Holly Ct
Sevierville, TN 37862-5314
Other practice locations
- 3677 Robert C. Byrd Drive, Beckley, WV 25801 · (865) 805-0567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 1000000021300 (TN) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
Other substance use disorder rehabilitation clinic/center providers in Kodak
About NPI 1790291334
Lifechangers Outreach's National Provider Identifier is 1790291334, issued on Dec 19, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kodak, TN. The record was last updated on Sep 25, 2018.