| NPI | 1881756161 |
|---|---|
| Doing Business As | CHURCH STREET PAVILION |
| Entity Type | Organization |
| Authorized Contact | KRISTIE HAMMONDS President And CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L214-076-1407) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN L-214-076-1407) |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: TN L-214-076-1407) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TN 369) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-01-10 |