person
Mary Katherine Hane
Mental Illness Community Based Residential Treatment Facility in Tullahoma, Tennessee
NPI 1144623620

Mary Katherine Hane is a Mental Illness Community Based Residential Treatment Facility based in Tullahoma, TN. Mary Katherine Hane practices in Tullahoma, TN. The NPI Number for Mary Katherine Hane is 1144623620 and holds a License No. 621674308 (Tennessee).

The current practice location address for Mary Katherine Hane is 207 W Blackwell St, Tullahoma, TN and can be reached out via phone at 931-461-0290. You can also correspond with Mary Katherine Hane through the mailing address at 11331 TULLAHOMA HWY, TULLAHOMA, TN - 37388-6015 (mailing address contact number: 931-636-8128).

Location: 207 W Blackwell St, Tullahoma, TN, 37388-6015
person
Provider Profile Details
NPI Number
1144623620
Provider Name
Mary Katherine Hane
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 W Blackwell St, Tullahoma, TN, 37388-6015
Phone Number
931-461-0290
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 W Blackwell St
City
State
Zip
37388-3395
Phone Number
931-461-0290
Fax Number
person
Provider Business Mailing Address Details
Address
207 W Blackwell St
City
State
Zip
37388-3395
Phone Number
931-461-0290
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
621674308 (Tennessee)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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