Mirror Lake Recovery Center

LBN: Crc Health Tennessee, Llc
Mirror Lake Recovery Center is an health care organization with primary practice located at 999 Girl Scout Rd , Burns TN 37029. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Crc Health Tennessee, Llc can be contacted via phone (615) 446-7034, or through Farley, Brian P via phone (615) 861-6000.

Contact Information

Primary practice address
999 Girl Scout Rd Burns TN 37029
Phone: (615) 446-7034
Fax: (615) 446-7061
Website:
Map and Directions
Authorized official contact:
Name: Farley, Brian P
Phone: (615) 861-6000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 7378 Tennessee
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 0000000116 Tennessee
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 7378 Tennessee

Profile Details

NPI number 1770615619
LBN Legal business name Crc Health Tennessee, Llc
DBA Doing business as Mirror Lake Recovery Center
Authorized official Farley, Brian P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 28th, 2023 - about last year

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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