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DRD MANAGEMENT INC NPI 1366601775


NPI Information

NPI: 1366601775
Provider Name: DRD MANAGEMENT, INC

Doing Business As: BHG KNOXVILLE CITICO TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 44D1088914

Address:
412 CITICO
KNOXVILLE, TN
ZIP 37921
Phone: (865) 522-0661
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DRD MANAGEMENT, INC is a rehabilitation and substance use disorder clinic center in Knoxville, TN. DRD MANAGEMENT, INC NPI is 1366601775. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bhg Knoxville Citico Treatment Center.

The provider's business location address is:

412 CITICO
KNOXVILLE, TN
ZIP 37921
Phone: (865) 522-0661
Fax: (865) 522-3670

The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.

The CLIA number assigned to this NPI record is 44D1088914 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 5/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)0000000513TENNESSEENo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM2800XClinic/CenterMethadoneNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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