Healthcare Provider Details

I. General information

NPI: 1801906847
Provider Name (Legal Business Name): TEN LAKES CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 N 1ST ST
DENNISON OH
44621-1003
US

IV. Provider business mailing address

6100 TOWER CIR STE 1000
FRANKLIN TN
37067-1509
US

V. Phone/Fax

Practice location:
  • Phone: 615-463-1458
  • Fax: 615-463-3203
Mailing address:
  • Phone: 615-861-7581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License NumberPENDING
License Number StateOH

VIII. Authorized Official

Name: CHRISTOPHER HOWARD
Title or Position: VP & TREASURER
Credential:
Phone: 615-861-1000