NPI 1720694193

Detox West Tennessee LLC

Organisation Substance Abuse Rehabilitation Facility Jackson, TN

Practice location

Address: 370 N Cumberland St, Jackson, TN 38301-5470
Phone: (615) 969-8612

Authorised official

Name: Ron Pruitt
Title: Ceo
Phone: (615) 400-5005

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Tennessee →

Registry record

NPI: 1720694193
Entity type: Organization
NPI issued: 21 Sep 2020
Record last updated: 20 May 2026

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.