Healthcare Provider Details

I. General information

NPI: 1578887998
Provider Name (Legal Business Name): GROUP EFFORT FOUNDATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 S WATER AVE
GALLATIN TN
37066-3645
US

IV. Provider business mailing address

661 S WATER AVE
GALLATIN TN
37066-3645
US

V. Phone/Fax

Practice location:
  • Phone: 615-230-2937
  • Fax: 615-230-2979
Mailing address:
  • Phone: 615-230-2937
  • Fax: 615-230-2979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberL000000004498
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateTN

VIII. Authorized Official

Name: TOWAN EDWARD SILER I
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-230-2937