Professional Care Services of West Tn, Inc.

NPI #1457351215 in Covington, Tennessee

Provider Information

NPI Number: 1457351215
Entity Type: Organization
Organization Name: Professional Care Services of West Tn, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 22, 2005
Last Updated: Feb 26, 2024

Practice Location

Address: 1997 HIGHWAY 51 S
City: Covington
State: Tennessee
ZIP Code: 38019-3630
Phone: (901) 476-8967

Authorized Official

Name: JIMMIE JACKSON
Title: CEO
Phone: (901) 622-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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