| Ensemble Recovery Enterprises, Llc | |
|
417 Holly St Knoxville TN 37917-7815 | |
| (865) 770-4003 | |
| (865) 246-2106 |
| Full Name | Ensemble Recovery Enterprises, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 417 Holly St, Knoxville, Tennessee |
| Authorized Official Name and Position | Deaver T Shattuck (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8657703838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensemble Recovery Enterprises, Llc Po Box 5777 Maryville TN 37802-5777 Ph: (865) 246-2104 | Ensemble Recovery Enterprises, Llc 417 Holly St Knoxville TN 37917-7815 Ph: (865) 770-4003 |
| NPI Number | 1346759636 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759636 | NPI | - | NPPES |
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