| 4th Judicial District Recovery Services, Inc | |
|
3342 Frank Morie Rd White Pine TN 37890-4504 | |
| (865) 674-2857 | |
| (865) 674-7273 |
| Full Name | 4th Judicial District Recovery Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3342 Frank Morie Rd, White Pine, Tennessee |
| Authorized Official Name and Position | Patricia Manuela Williams (DIRECTOR) |
| Authorized Official Contact | 8656742857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4th Judicial District Recovery Services, Inc Po Box 293 Dandridge TN 37725-0293 Ph: (865) 674-2857 | 4th Judicial District Recovery Services, Inc 3342 Frank Morie Rd White Pine TN 37890-4504 Ph: (865) 674-2857 |
| NPI Number | 1841601366 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841601366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L000000013997 (Tennessee) | Primary |
Behavioral Advising & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3408 Connie Ln, White Pine, TN 37890 Phone: 423-329-5582 |