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941 Spring Creek Rd Chattanooga TN 37412-3909 | |
| (423) 894-7870 | |
| (423) 855-3648 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 941 Spring Creek Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | John Porada (CFO) |
| Authorized Official Contact | 4238553500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
552 Metroplex Dr Nashville TN 37211-3133 Ph: (423) 894-7870 | 941 Spring Creek Rd Chattanooga TN 37412-3909 Ph: (423) 894-7870 |
| NPI Number | 1194991232 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 09/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194991232 | NPI | - | NPPES |
| 224464000 | Other | TN | TNCARE PREMIER/TBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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