NPI 1538498555

Emmanuel Treatment Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ethridge, TN

Practice location

Address: 101 Main Street, Ethridge, TN 38456
Phone: (931) 231-5905
Mailing address: 2773 Highway 43 N, Lawrenceburg, TN 38464-6057

Authorised official

Name: Dana Rena Mobbs
Title: Administrator/Owner
Phone: (931) 231-5905

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1000000005014 (TN)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Tennessee →

Registry record

NPI: 1538498555
Entity type: Organization
NPI issued: 22 Dec 2009
Record last updated: 22 Dec 2009

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.