Organization · Type 2 NPI
Magnolia Ranch Recovery LLC
Substance Abuse Rehabilitation Facility · Pulaski, TN
NPI number
1902331929
Active
Practice location
111 Stripmine Rd
Pulaski, TN 38478-8182
Fax (866) 318-9108
Mailing address
1020 E College St
Pulaski, TN 38478-4547
Other practice locations
- 39 Stevens Hollow Rd, Taft, TN 38488-5269 · (931) 425-6303
- 115 Stripmine Rd, Pulaski, TN 38478-8182 · (931) 347-4966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| 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.
Other substance abuse rehabilitation facility providers in Pulaski
About NPI 1902331929
Magnolia Ranch Recovery LLC's National Provider Identifier is 1902331929, issued on Apr 27, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pulaski, TN. The record was last updated on Jun 26, 2023.