Healthcare Provider Details

I. General information

NPI: 1336679257
Provider Name (Legal Business Name): THE ROSS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MAPLEWOOD LN
NASHVILLE TN
37216-1607
US

IV. Provider business mailing address

610 MAPLEWOOD LN
NASHVILLE TN
37216-1607
US

V. Phone/Fax

Practice location:
  • Phone: 931-607-1656
  • Fax:
Mailing address:
  • Phone: 931-607-1656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMY LYNCH
Title or Position: VICE PRESIDENT
Credential:
Phone: 931-220-1384