Whalio Doctors

NPI 1588973309

Lamont Ingram Developmental Organization for At-Risk Children

Organisation Substance Abuse Rehabilitation Facility Jackson, TN

Practice location

Address
95 Riverport Dr, Jackson, TN 38301-5748
Phone
(731) 736-1109
Fax
(731) 300-0259

Authorised official

Name
Robert Lamont Ingram
Title
Founder/President/Ceo
Phone
(731) 736-1109

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1588973309
Entity type
Organization
NPI issued
28 Sep 2010
Record last updated
6 Aug 2024

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.