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Spirit Lake Recovery, Llc
Substance Abuse Rehabilitation Facility in Mc Kenzie, Tennessee
NPI 1114168564

Spirit Lake Recovery, Llc is a Substance Abuse Rehabilitation Facility based in Mc Kenzie, TN. Spirit Lake Recovery, Llc practices in Mc Kenzie, TN. The NPI Number for Spirit Lake Recovery, Llc is 1114168564 and holds a License No. 4072 (Tennessee).

The current practice location address for Spirit Lake Recovery, Llc is 1060 Old Mckenzie Rd, Mc Kenzie, TN and can be reached out via phone at 731-393-0304.

Location: 1060 Old Mckenzie Rd, Mc Kenzie, TN, 38201-8667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114168564
Provider Name
Spirit Lake Recovery, Llc
Credential
Provider Entity Type
Organization
Address
1060 Old Mckenzie Rd, Mc Kenzie, TN, 38201-8667
Phone Number
731-393-0304
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1060 Old Mckenzie Rd
City
Mc Kenzie
State
Tennessee
Zip
38201-8667
Phone Number
731-393-0304
Fax Number
person
Provider Business Mailing Address Details
Address
1060 Old Mckenzie Rd
City
Mc Kenzie
State
Tennessee
Zip
38201-8667
Phone Number
731-393-0304
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
4072 (Tennessee)
Definition
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.
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