| Transformation Center-cleveland | |
|
423 Central Ave Nw Cleveland TN 37311-4923 | |
| (423) 476-1933 | |
| (423) 559-1848 |
| Full Name | Transformation Center-cleveland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 423 Central Ave Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Mark L. Carpenter (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 4234999335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Center-cleveland 7209 Hamilton Acres Cir Chattanooga TN 37421-8623 Ph: (423) 499-9335 | Transformation Center-cleveland 423 Central Ave Nw Cleveland TN 37311-4923 Ph: (423) 476-1933 |
| NPI Number | 1215493978 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 02/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215493978 | NPI | - | NPPES |
| 1000000023616 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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