Organization Name: | WOODRIDGE OF WEST TENNESSEE, LLC |
NPI Number: | 1922409788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE WHITE (CFL) |
Mailing Address: | 49 Old Hickory Blvd Jackson |
State: | TN US |
Postal Code: | 383054551 |
Phone Number: | 7316685880 |
Fax Number: | 7316685870 |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |