OrganizationActive
21st Century Living Services, Inc
NPI 1376051763 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gallatin, TN
Provider details
- NPI number
- 1376051763
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- John Birdwell, President
Practice location
575 Airport Rd
Gallatin, TN 37066-4901
Phone: (615) 452-9766
Fax: (615) 452-1125
Mailing address
575 Airport Rd
Gallatin, TN 37066-4901
Registry dates
- Enumerated
- 2018-01-19
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.