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6727 Heritage Business Ct Suite 724 Chattanooga TN 37421-7015 | |
| (423) 505-5475 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6727 Heritage Business Ct, Chattanooga, Tennessee |
| Authorized Official Name and Position | April Lynn Taylor (PRESIDENT, CLINICAL DIRECTOR) |
| Authorized Official Contact | 4235055475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6727 Heritage Business Ct Suite 724 Chattanooga TN 37421-7015 Ph: (423) 505-5475 | 6727 Heritage Business Ct Suite 724 Chattanooga TN 37421-7015 Ph: (423) 505-5475 |
| NPI Number | 1699057521 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699057521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000002667 (Tennessee) | Primary |
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