Resilient Spread Development
NPI #1578022117 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1578022117
- Entity Type
- Organization
- Organization Name
- Resilient Spread Development
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Mar 13, 2019
- Last Updated
- Mar 18, 2019
Practice Location
- Address
- 4315 13TH AVE
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37407-3104
- Phone
- (423) 475-6165
Authorized Official
- Name
- ROBERTA DAVIS
- Title
- AUTHORIZED OFFICIAL
- Phone
- (423) 475-6165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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