Provider First Line Business Practice Location Address:
633 THOMPSON LANE
Provider Second Line Business Practice Location Address:
CENTERSTONE COMM MENTAL HEALTH CLINIC INC
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-460-4430
Provider Business Practice Location Address Fax Number:
615-460-4432
Provider Enumeration Date:
10/02/2006