CGC SUPPORTIVE LIVING NPI 1003162975

NPI Information

NPI: 1003162975
Provider Name: CGC SUPPORTIVE LIVING
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
711 JOHNSON ST
MURFREESBORO, TN
ZIP 37130
Phone: (615) 895-9751
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CGC SUPPORTIVE LIVING is a community based residential treatment facility mental illness in Murfreesboro, TN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CGC SUPPORTIVE LIVING NPI is 1003162975. The provider is registered as an organization entity type.

The provider's business location address is:

711 JOHNSON ST
MURFREESBORO, TN
ZIP 37130-129
Phone: (615) 895-9751

The provider's authorized official is Gregory Earl Smith .
The authorized official title is Co-owner and has the following contact phone number (615) 554-2508.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 7/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		L000000010545	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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