Upper East Tn Regional Juvenile Detention Center

NPI 1326147331 - Clinic/Center - 261QM0855X

NPI Details
NPI 1326147331
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RALPH RALPH
Position ADMIN
Phone (423) 282-2118
Fax (423) 282-9669
Practice Location
307 WESLEY ST
JOHNSON CITY TN, 37601-1721, US
Phone (423) 282-2118
Fax (423) 282-9669
Business Location
307 WESLEY ST
JOHNSON CITY TN, 37601-1721, US
Phone (423) 282-2118
Fax (423) 282-9669
Toxanomy
Taxonomy Code 261QM0855X
License State
License Number
Remove 1326147331 NPI Number
 

According to our database, Upper East Tn Regional Juvenile Detention Center NPI is 1326147331, taxonomy code is 261QM0855X Upper East Tn Regional Juvenile Detention Center physically located at 307 Wesley St, Johnson City TN, 37601-1721. NPI Number 1033115704 has the healthcare provider type.

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1326147331 NPI number is provided on an as is basis without warranty of any kind. 1326147331 is maintained by the National Plan & Provider Enumeration System. The contents of Upper East Tn Regional Juvenile Detention Center are for informational purposes only.