Whalio Doctors

NPI 1043685563

Centerstone of America

Organisation Mental Illness Community Based Residential Treatment Facility Nashville, TN

Practice location

Address
717 Hart Ln, Nashville, TN 37216-2007
Phone
(615) 460-4290

Authorised official

Name
Dwayne Larvel Ricketts
Title
Residential Counselor
Phone
(615) 460-4290

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1043685563
Entity type
Organization
NPI issued
9 Dec 2015
Record last updated
9 Dec 2015

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.