NPI 1245579218

Independance Adult Treatment Service

Organisation Mental Illness Community Based Residential Treatment Facility Chattanooga, TN

Practice location

Address: 709 Dodds Ave, Chattanooga, TN 37404-3913
Phone: (423) 521-3083
Fax: (423) 289-3567

Authorised official

Name: Latonya Long
Title: Co-Owner
Phone: (404) 510-2058

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence I000000012355 (TN)

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

Registry record

NPI: 1245579218
Entity type: Organization
NPI issued: 11 Feb 2013
Record last updated: 6 Aug 2013

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.