Scholar Care Collaborative Group, INC

NPI #1780935312 in Antioch, Tennessee

Provider Information

NPI Number: 1780935312
Entity Type: Organization
Organization Name: Scholar Care Collaborative Group, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 22, 2012
Last Updated: Sep 22, 2012

Practice Location

Address: 5170 HICKORY HOLLOW PKWY UNIT 407
City: Antioch
State: Tennessee
ZIP Code: 37013-3089
Phone: (615) 573-2412

Authorized Official

Name: GLORIA J. TISDELL, LPN
Title: VICE-PRESIDENT
Phone: (901) 598-7292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric	3140N1450X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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