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Efc #2 — NPI 1528897451, Fayetteville, TN | NPI Central

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NPI 1528897451

OrganizationActive

Efc #2

NPI 1528897451 · Community/Behavioral Health Agency · Fayetteville, TN

Provider details

NPI number: 1528897451
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Organization subpart: No
Authorized official: Rose Dodge, Owner(931) 952-3499

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies
Physical Disabilities Residential Treatment Facility320700000X
Residential Treatment Facilities

Practice location

603 Amana Ave.

Fayetteville, TN 37334

Phone: (931) 240-0682

Fax: (931) 240-0054

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

603 Amana Ave.

Fayetteville, TN 37334

Registry dates

Enumerated: 2024-07-30
Last updated: 2024-07-31
Certified: 2024-07-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.