Organization Name: | CHEROKEE HEALTH SYSTEMS |
NPI Number: | 1134128820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY W HOWARD (CFO) |
Mailing Address: | 6350 W Andrew Johnson Hwy Talbott |
State: | TN US |
Postal Code: | 378778605 |
Phone Number: | 4235877337 |
Fax Number: | 4235860614 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | L2140741058 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |