State of Tennessee-Western Mental Health Institute

NPI #1538114020 in Bolivar, Tennessee

Provider Information

NPI Number
1538114020
Entity Type
Organization
Organization Name
State of Tennessee-Western Mental Health Institute
Primary Specialty
Psychiatric Hospital
Enumeration Date
May 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
11100 HIGHWAY 64
ZIP Code
38008-1554
Phone
(731) 228-2000

Authorized Official

Name
RICHARD B TAYLOR
Title
FISCAL DIRECTOR
Phone
(731) 228-2044

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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