Renaissance Recovery Center

NPI 1144613787 - Clinic/Center - 261QR0405X

NPI Details
NPI 1144613787
Enumeration Date 03/06/2015
Last Updated 03/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEFFERY TUCK JEFFERY
Position PROJECT MANAGER/ADMINISTRATOR
Phone (865) 240-3357
Fax
Practice Location
9051 EXECUTIVE PARK DR
SUITE 202
KNOXVILLE TN, 37923-4606, US
Phone (865) 240-3357
Fax
Business Location
9051 EXECUTIVE PARK DR
SUITE 202
KNOXVILLE TN, 37923-4606, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, Renaissance Recovery Center NPI is 1144613787, taxonomy code is 261QR0405X Renaissance Recovery Center physically located at 9051 Executive Park Dr, Knoxville TN, 37923-4606. NPI Number 1033115704 has the healthcare provider type.

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1144613787 NPI number is provided on an as is basis without warranty of any kind. 1144613787 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Recovery Center are for informational purposes only.