| Icarus Addiction Care | |
|
510 Hospital Dr Ste 480 Madison TN 37115-5052 | |
| (615) 645-3013 | |
| (615) 621-3158 |
| Full Name | Icarus Addiction Care |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 510 Hospital Dr Ste 480, Madison, Tennessee |
| Authorized Official Name and Position | Janine Archuleta (ADMINISTRATOR) |
| Authorized Official Contact | 6156453013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icarus Addiction Care 510 Hospital Dr Ste 480 Madison TN 37115-5052 Ph: (615) 645-3013 | Icarus Addiction Care 510 Hospital Dr Ste 480 Madison TN 37115-5052 Ph: (615) 645-3013 |
| NPI Number | 1538924352 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538924352 | NPI | - | NPPES |
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