| The Solution Source Llc | |
|
4038 Gap Rd Knoxville TN 37912-5903 | |
| (865) 525-0391 | |
| (865) 321-8833 |
| Full Name | The Solution Source Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4038 Gap Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | Ryan Keith Peters (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8655992367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Solution Source Llc 4038 Gap Rd Knoxville TN 37912-5903 Ph: (865) 525-0391 | The Solution Source Llc 4038 Gap Rd Knoxville TN 37912-5903 Ph: (865) 525-0391 |
| NPI Number | 1114100955 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114100955 | NPI | - | NPPES |
| 1503129 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Tennessee) | Primary |
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