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Mr. Donovan C Mcleod
Mental Illness Community Based Residential Treatment Facility in Chattanooga, Tennessee
NPI 1619552304

Donovan C Mcleod is a Mental Illness Community Based Residential Treatment Facility based in Chattanooga, TN. Donovan C Mcleod practices in Chattanooga, TN. The NPI Number for Donovan C Mcleod is 1619552304 and holds a License No. L000000026251 (Tennessee).

The current practice location address for Donovan C Mcleod is 4704 Kenwood Ave, Chattanooga, TN and can be reached out via phone at 423-505-7866.

Location: 4704 Kenwood Ave, Chattanooga, TN, 37414-7925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619552304
Provider Name
Donovan C Mcleod
Credential
Provider Entity Type
Individual
Gender
Male
Address
4704 Kenwood Ave, Chattanooga, TN, 37414-7925
Phone Number
423-505-7866
Fax Number
Provider Enumeration Date
03/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4704 Kenwood Ave
City
Chattanooga
State
Tennessee
Zip
37411-3805
Phone Number
423-505-7866
Fax Number
person
Provider Business Mailing Address Details
Address
4704 Kenwood Ave
City
Chattanooga
State
Tennessee
Zip
37411-3805
Phone Number
423-505-7866
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
L000000026251 (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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