4TH Judicial District Recovery Services, Inc
Organization Active NPI Community/Behavioral Health Agency · White Pine, TN
NPI 1841601366 · NPPES record last updated May 19, 2014
Key facts
- NPI
- 1841601366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- L000000013997 (TN)
- Legal business name
- 4TH JUDICIAL DISTRICT RECOVERY SERVICES, INC
- Practice address
- 3342 Frank Morie Rd
White Pine, TN 37890-4504 - Phone
- (865) 674-2857
- Fax
- (865) 674-7273
- NPI assigned
- May 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Patricia Manuela Williams
- Title
- Director
- Phone
- (865) 674-2857
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | L000000013997 | TN | Yes |
Addresses
Primary practice location
3342 Frank Morie Rd
White Pine, TN 37890-4504
Mailing address
PO Box 293
Dandridge, TN 37725-0293
Phone (865) 674-2857
Other providers in White Pine, TN
- Angel Dawn Atkins
- Melanie Sieglinda Beers
- Behavioral Advising & Consulting
- Rebecca Lou Boyd
- Robert John Braidwood
All providers in White Pine, TN · Community/Behavioral Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.