| Hope Alive Centers Pllc | |
|
1205 S Graycroft Ave Madison TN 37115-5130 | |
| (615) 679-0132 | |
| Not Available |
| Full Name | Hope Alive Centers Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1205 S Graycroft Ave, Madison, Tennessee |
| Authorized Official Name and Position | Darrell Arnett (OWNER) |
| Authorized Official Contact | 6157192248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Alive Centers Pllc 1205 S Graycroft Ave Madison TN 37115-5130 Ph: () - | Hope Alive Centers Pllc 1205 S Graycroft Ave Madison TN 37115-5130 Ph: (615) 679-0132 |
| NPI Number | 1508330382 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508330382 | NPI | - | NPPES |
| 1529060 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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