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Vcphcs Xvii, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Columbia, Tennessee
NPI 1508202524

Vcphcs Xvii, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, TN and is specialized in Rehabilitation, Substance Use Disorder. Vcphcs Xvii, Llc practices in Columbia, TN. The NPI Number for Vcphcs Xvii, Llc is 1508202524 and holds a License No. (Tennessee).

The current practice location address for Vcphcs Xvii, Llc is 1202 S James Campbell Blvd, Columbia, TN and can be reached out via phone at 931-381-0020 and via fax at 931-381-0029.

Location: 1202 S James Campbell Blvd, Columbia, TN, 75244-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508202524
Provider Name
Vcphcs Xvii, Llc
Credential
Provider Entity Type
Organization
Address
1202 S James Campbell Blvd, Columbia, TN, 75244-3946
Phone Number
931-381-0020
Fax Number
931-381-0029
Provider Enumeration Date
05/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1202 S James Campbell Blvd
City
Columbia
State
Tennessee
Zip
38401-5193
Phone Number
931-381-0020
Fax Number
931-381-0029
person
Provider Business Mailing Address Details
Address
1202 S James Campbell Blvd
City
Columbia
State
Tennessee
Zip
38401-5193
Phone Number
931-381-0020
Fax Number
931-381-0029
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
L000000012587 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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