OrganizationActive
Behavioral Services of Tennessee, Inc.
NPI 1184817033 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cordova, TN
Provider details
- NPI number
- 1184817033
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Carlos Gonzales, Ceo(901) 624-2454
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1155 Cully Rd
Cordova, TN 38018
Phone: (901) 624-2454
Approximate (ZIP-level) locationGet directions
Mailing address
1155 Cully Rd
Cordova, TN 38018
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2007-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.