Sarah Hammond

Individual provider Active NPI Mental Illness Community Based Residential Treatment Facility · Tennessee Ridge, TN

NPI 1356714463 · NPPES record last updated Nov 11, 2015

Key facts

NPI
1356714463
Entity type
Individual (NPI type 1)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Practice address
1330 N Main St
Tennessee Ridge, TN 37178-4003
Phone
(931) 721-3312
Fax
(931) 721-3308
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Yes

Addresses

Primary practice location

1330 N Main St
Tennessee Ridge, TN 37178-4003

Mailing address

3851 Waverly Rd
Tennessee Ridge, TN 37178-5528

Other names

  • Sarah Callaway Former name

Other providers in Tennessee Ridge, TN

All providers in Tennessee Ridge, TN · Mental Illness Community Based Residential Treatment Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.