OrganizationActive
Community Therapy Centers Corp
NPI 1912749540 · Mental Health Clinic/Center (Including Community Mental Health Center) · Carthage, TN
Provider details
- NPI number
- 1912749540
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Destina Caban, Director(312) 172-4589
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Practice location
115 Main St S Ste D
Carthage, TN 37030-1940
Phone: (931) 217-2458
Approximate (ZIP-level) locationGet directions
Mailing address
115 Main St S Ste D
Carthage, TN 37030-1940
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.