Provider Demographics
NPI:1427299924
Name:ENGLISH MOUNTAIN RECOVERY
Entity type:Organization
Organization Name:ENGLISH MOUNTAIN RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-550-0340
Mailing Address - Street 1:1096 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-7825
Mailing Address - Country:US
Mailing Address - Phone:800-990-0340
Mailing Address - Fax:954-208-5770
Practice Address - Street 1:1096 ALPINE DR
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-7825
Practice Address - Country:US
Practice Address - Phone:800-990-0340
Practice Address - Fax:954-208-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000002511324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility