| The Ranch On The Piney River, Inc. | |
|
6107 Pinewood Rd Nunnelly TN 37137-2523 | |
| (931) 729-9631 | |
| (931) 729-9632 |
| Full Name | The Ranch On The Piney River, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6107 Pinewood Rd, Nunnelly, Tennessee |
| Authorized Official Name and Position | Miles Adcox (CEO) |
| Authorized Official Contact | 9317299631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ranch On The Piney River, Inc. 6107 Pinewood Rd Nunnelly TN 37137-2523 Ph: (931) 729-9631 | The Ranch On The Piney River, Inc. 6107 Pinewood Rd Nunnelly TN 37137-2523 Ph: (931) 729-9631 |
| NPI Number | 1184791634 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184791634 | NPI | - | NPPES |
| 12140369355 | Other | TN | MH OUPTATIENT FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12140369355 (Tennessee) | Primary |