NPI:
1073053625
Provider Name:
BOWDOIN RECOVERY SERVICES LLC
Former Legal Business Name: BOWDOIN RECOVERY SERVICES
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 44D2158313
Address:
431 NISSAN DR STE 202
SMYRNA, TN
ZIP 37167
Phone:
(615) 462-7392
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BOWDOIN RECOVERY SERVICES LLC is a rehabilitation and substance use disorder clinic center in Smyrna, TN. BOWDOIN RECOVERY SERVICES LLC NPI is 1073053625. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Bowdoin Recovery Services.
The provider's business location address is:
431 NISSAN DR STE 202
SMYRNA, TN
ZIP 37167-365
Phone: (615) 462-7392
Fax: (615) 267-0020
The provider's authorized official is Luther Bowdoin .
The authorized official title is Controller and has the following contact phone number (615) 462-7392.
The CLIA number assigned to this NPI record is 44D2158313 - other - drug treatment program with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/1/2017 and was last updated on 8/17/2021.