| Rtc | |
|
4525 Harding Pike Ste 200 Nashville TN 37205-2154 | |
| (615) 823-3955 | |
| Not Available |
| Full Name | Rtc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4525 Harding Pike Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Clyde A Poag (PRESIDENT/CEO) |
| Authorized Official Contact | 6163081162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rtc P.o Box 564 Antioch TN 37011 Ph: (616) 308-1162 | Rtc 4525 Harding Pike Ste 200 Nashville TN 37205-2154 Ph: (615) 823-3955 |
| NPI Number | 1730445362 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730445362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5618 (Tennessee) | Primary |
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