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CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE LLC NPI 1750038386


NPI Information

NPI: 1750038386
Provider Name: CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 44D2211227

Address:
1405 W BADDOUR PKWY STE 101
LEBANON, TN
ZIP 37087
Phone: (615) 994-1288
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CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC is a substance abuse rehabilitation facility in Lebanon, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC NPI is 1750038386. The provider is registered as an organization entity type.

The provider's business location address is:

1405 W BADDOUR PKWY STE 101
LEBANON, TN
ZIP 37087-595
Phone: (615) 994-1288
Fax: (615) 547-4520

The provider's authorized official is Joseph Bond .
The authorized official title is Chief Executive Officer and has the following contact phone number (615) 680-0110.

The CLIA number assigned to this NPI record is 44D2211227 - other - office opiod treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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