| Coffee County Drug Court | |
|
604 College St Manchester TN 37355-1769 | |
| (931) 723-3051 | |
| (931) 723-3632 |
| Full Name | Coffee County Drug Court |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 604 College St, Manchester, Tennessee |
| Authorized Official Name and Position | Mike Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9315813602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee County Drug Court 604 College St Manchester TN 37355-1769 Ph: (931) 723-3051 | Coffee County Drug Court 604 College St Manchester TN 37355-1769 Ph: (931) 723-3051 |
| NPI Number | 1881019255 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 02/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881019255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I00000001631 (Tennessee) | Primary |
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