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Detox West Tennessee Llc
Substance Abuse Rehabilitation Facility in Jackson, Tennessee
NPI 1720694193

Detox West Tennessee Llc is a Substance Abuse Rehabilitation Facility based in Jackson, TN. Detox West Tennessee Llc practices in Jackson, TN. The NPI Number for Detox West Tennessee Llc is 1720694193 and holds a License No. (Tennessee).

The current practice location address for Detox West Tennessee Llc is 370 N Cumberland St, Jackson, TN and can be reached out via phone at 615-969-8612.

Location: 370 N Cumberland St, Jackson, TN, 38301-5470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720694193
Provider Name
Detox West Tennessee Llc
Credential
Provider Entity Type
Organization
Address
370 N Cumberland St, Jackson, TN, 38301-5470
Phone Number
615-969-8612
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
971960 01 TN DOB
institution
Provider Business Practice Location Address Details
Address
370 N Cumberland St
City
Jackson
State
Tennessee
Zip
38301-5470
Phone Number
615-969-8612
Fax Number
person
Provider Business Mailing Address Details
Address
370 N Cumberland St
City
Jackson
State
Tennessee
Zip
38301-5470
Phone Number
615-969-8612
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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