Provider Demographics
NPI:1306476023
Name:RECOVERY COURT OF SUMNER COUNTY, INC.
Entity type:Organization
Organization Name:RECOVERY COURT OF SUMNER COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IOP COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-405-5793
Mailing Address - Street 1:132 S WATER AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2903
Mailing Address - Country:US
Mailing Address - Phone:615-461-8597
Mailing Address - Fax:
Practice Address - Street 1:132 S WATER AVE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2903
Practice Address - Country:US
Practice Address - Phone:615-461-8597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility