Healthcare Provider Details

I. General information

NPI: 1245800796
Provider Name (Legal Business Name): 8OAKS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 06/28/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 TENNESSEE CIRCLE
WESTPOINT TN
38486
US

IV. Provider business mailing address

PO BOX 528
LAWRENCEBURG TN
38464-0528
US

V. Phone/Fax

Practice location:
  • Phone: 931-853-4733
  • Fax:
Mailing address:
  • Phone: 931-853-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MIKE J STETAR
Title or Position: EXEC. DIRECTOR
Credential:
Phone: 931-324-9928