NPI 1003162975

Cgc Supportive Living

Organisation Mental Illness Community Based Residential Treatment Facility Murfreesboro, TN

Practice location

Address: 711 Johnson St, Murfreesboro, TN 37130-5129
Phone: (615) 895-9751
Mailing address: 1668 Middle Tennessee Blvd, Murfreesboro, TN 37130-5108

Authorised official

Name: Gregory Earl Smith
Title: Co-Owner
Phone: (615) 554-2508

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence L000000010545 (TN)

Other Community Based Residential Treatment Facility, Mental Illness providers in Tennessee →

Registry record

NPI: 1003162975
Entity type: Organization
NPI issued: 30 Jul 2012
Record last updated: 30 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.