| Behavioral Healthcare Center At Clarksville, Llc | |
|
930 Professional Park Drive Clarksville TN 37040 | |
| (931) 538-6420 | |
| (931) 538-6447 |
| Full Name | Behavioral Healthcare Center At Clarksville, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 930 Professional Park Drive, Clarksville, Tennessee |
| Authorized Official Name and Position | Robin F Bradley (SECRETARY) |
| Authorized Official Contact | 6155958383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Center At Clarksville, Llc Po Box 10 Parsons TN 38363-0010 Ph: (731) 847-6343 | Behavioral Healthcare Center At Clarksville, Llc 930 Professional Park Drive Clarksville TN 37040 Ph: (931) 538-6420 |
| NPI Number | 1346570777 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 6305972639 |
|---|---|
| Medicare Enrollment ID | O20100325000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346570777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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