NPI 1316170806

Ginger R Bennett

Practitioner Psychiatric Residential Treatment Facility Tullahoma, TN

Practice location

Address: 207 W Blackwell St, Tullahoma, TN 37388-3395
Phone: (931) 461-0290
Fax: (931) 461-0209

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Tennessee →

Registry record

NPI: 1316170806
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2009
Record last updated: 31 Aug 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.