| NPI | 1104869486 |
|---|---|
| Doing Business As | MOCCASIN BEND MENTAL HEALTH INST |
| Entity Type | Organization |
| Authorized Contact | JASON CARTER Chief Of Pharmacy 615-532-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN L2(16)M21051098) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-10-14 |