OrganizationActive
Resources for Human Development
NPI 1619014495 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Gallatin, TN
Provider details
- NPI number
- 1619014495
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jordan Allen, Director(615) 230-4922
- License
- L3(20)4M5-026-3249 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense L3(20)4M5-026-3249 (TN)
Residential Treatment Facilities
Practice location
151 W Winchester St
Gallatin, TN 37066-3235
Phone: (615) 230-4922
Fax: (615) 230-4924
Approximate (ZIP-level) locationGet directions
Mailing address
151 W Winchester St
Gallatin, TN 37066-3235
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.