Fairhaven Treatment Center

LBN: Fairhaven Treatment Center
Fairhaven Treatment Center is an health care organization with primary practice located at 890 N Houston Levee Rd , Cordova TN 38018-6614. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Fairhaven Treatment Center can be contacted via phone (901) 757-7979, or through Gray, Jessica Ann via phone (901) 757-7979.

Contact Information

Primary practice address
890 N Houston Levee Rd Cordova TN 38018-6614
Phone: (901) 757-7979
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Jessica Ann
Phone: (901) 757-7979

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 14387 Tennessee
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 14387 Tennessee
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 14387 Tennessee

Profile Details

NPI number 1700279080
LBN Legal business name Fairhaven Treatment Center
DBA Doing business as
Authorized official Gray, Jessica Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2015
Last updated Mar 11th, 2015 - about 10 years 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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