| Reaching The Stars Center For Autism,inc | |
|
5105 Heathrow Blvd Brentwood TN 37027-6538 | |
| (818) 939-5324 | |
| Not Available |
| Full Name | Reaching The Stars Center For Autism,inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5105 Heathrow Blvd, Brentwood, Tennessee |
| Authorized Official Name and Position | Patrick Samuel Knight (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8189395324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching The Stars Center For Autism,inc 4607 Lakeview Canyon Rd Westlake Village CA 91361-4028 Ph: (818) 939-5324 | Reaching The Stars Center For Autism,inc 5105 Heathrow Blvd Brentwood TN 37027-6538 Ph: (818) 939-5324 |
| NPI Number | 1306116108 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306116108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39923 (California) | Primary |
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