NATCHEZ TRACE GROUP HOME, INC.

HOHENWALD, TN
NPI1124250733
Entity TypeOrganization
Authorized ContactVINCENT DE KONING
CEO
931-796-2039
Organization Subpart ?No
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
(Licence: TN  L000000003374)
Enumeration Date2009-08-14
Last Update Date2009-08-14
Business Address
NATCHEZ TRACE GROUP HOME, INC.
116 KITTRELL ST
HOHENWALD, TN 38462-1363
Phone number: 931-796-4400
Mailing Address
NATCHEZ TRACE GROUP HOME, INC.
PO BOX 309
HOHENWALD, TN 38462-0309
Phone number: 931-796-2039
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