Pink Coyote, Inc.

NPI #1538446893 in Wartburg, Tennessee

Provider Information

NPI Number: 1538446893
Entity Type: Organization
Organization Name: Pink Coyote, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 14, 2011
Last Updated: Nov 14, 2011

Practice Location

Address: 117 COON HUNTERS RD
City: Wartburg
State: Tennessee
ZIP Code: 37887-3607
Phone: (865) 748-7003

Authorized Official

Name: MR. JAMES THOMAS CAMPBELL
Title: PRESIDENT
Phone: (865) 748-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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