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General NPI Number Information
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NPI Number | 1780192229
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Entity Type | Organization
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Legal Business Name | SOUTHSTONE BEHAVIORAL HEALTHCARE CENTER, LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 3046 CARLBROOK RD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-6882
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Country | US
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Telephone | 434-476-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, VP & SECRETARY
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Name | MR. CHRISTOPHER L HOWARD
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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