East Tennessee Recovery, Pllc
NPI #1114462215 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1114462215
- Entity Type
- Organization
- Organization Name
- East Tennessee Recovery, Pllc
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Enumeration Date
- Dec 27, 2016
- Last Updated
- Dec 16, 2025
Practice Location
- Address
- 2408 SUSANNAH ST STE 1
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1765
- Phone
- (423) 434-6677
Authorized Official
- Name
- DANIEL TACKLING
- Title
- CFO
- Phone
- (423) 434-6677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Community/Behavioral Health |
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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