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Vcphcs Xix, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Jackson, Tennessee
NPI 1639515646

Vcphcs Xix, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, TN and is specialized in Rehabilitation, Substance Use Disorder. Vcphcs Xix, Llc practices in Jackson, TN. The NPI Number for Vcphcs Xix, Llc is 1639515646 and holds a License No. (Tennessee).

The current practice location address for Vcphcs Xix, Llc is 1869 Highway 45 Byp, Jackson, TN and can be reached out via phone at 731-660-0880 and via fax at 731-668-0380.

Location: 1869 Highway 45 Byp, Jackson, TN, 75244-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639515646
Provider Name
Vcphcs Xix, Llc
Credential
Provider Entity Type
Organization
Address
1869 Highway 45 Byp, Jackson, TN, 75244-3946
Phone Number
731-660-0880
Fax Number
731-668-0380
Provider Enumeration Date
05/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1869 Highway 45 Byp
City
Jackson
State
Tennessee
Zip
38305-2464
Phone Number
731-660-0880
Fax Number
731-668-0380
person
Provider Business Mailing Address Details
Address
1869 Highway 45 Byp
City
Jackson
State
Tennessee
Zip
38305-2464
Phone Number
731-660-0880
Fax Number
731-668-0380
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.
L000000011853 (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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