30:17 Recovery

LBN: 30:17 Recovery
30:17 Recovery is an health care organization with primary practice located at 188 Carriage House Dr , Jackson TN 38305-3969. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. 30:17 Recovery can be contacted via phone (731) 215-0049, or through Mcbroom, Melissa via phone (731) 215-0449.

Contact Information

Primary practice address
188 Carriage House Dr Jackson TN 38305-3969
Phone: (731) 215-0049
Fax: (800) 418-1395
Website:
Map and Directions
Authorized official contact:
Name: Mcbroom, Melissa
Phone: (731) 215-0449

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1679331284
LBN Legal business name 30:17 Recovery
DBA Doing business as
Authorized official Mcbroom, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2024
Last updated Mar 8th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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