MEDICARE: TALBOTT RECOVERY CAMPUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	031-443-D	GA

General Provider Information

NPI Number	:	1336114321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALBOTT RECOVERY CAMPUS

Provider Business Mailing Address
First Line	:	1000 HEALTH PARK DRIVE
Second Line	:	BUILDING THREE, SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027
Country	:	US
Telephone Number	:	615-386-7255
Fax Number	:	615-645-7445

Provider Business Practice Location Address
First Line	:	5355 HUNTER RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-2594
Country	:	US
Telephone Number	:	770-994-0185
Fax Number	:

Authorized Official
Title or Position	:	EVP - CHIEF FINANCIAL OFFICER
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-382-3319

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/28/2020

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