Healthcare Provider Details

I. General information

NPI: 1679004253
Provider Name (Legal Business Name): SOLUTIONSRETREAT.ORG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5405 FOREST ACRES DR
NASHVILLE TN
37220-2100
US

IV. Provider business mailing address

5405 FOREST ACRES DR
NASHVILLE TN
37220-2100
US

V. Phone/Fax

Practice location:
  • Phone: 615-944-8030
  • Fax:
Mailing address:
  • Phone: 615-944-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number17036
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number17036
License Number StateTN

VIII. Authorized Official

Name: DANIEL JOSEPH SCHWEIHS
Title or Position: CEO
Credential:
Phone: 615-944-8030