Ten Broeck Tennessee Physicians Group Inc
Ten Broeck Tennessee Physicians Group Inc is an Adult Mental Health Clinic/Center in Vandalia, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
802 N 8th StVandalia, IL 62471-1756
Phone: (618) 283-1731
Fax: (618) 283-0590
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1083236012 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenda Guy — Director, Compliance · (931) 783-2511 |
| Other names | Center For Senior Renewal |
| NPI enumerated | May 13, 2020 |
| Last updated in NPPES | May 13, 2020 |
| Certification date | May 13, 2020 |
| Mailing address | 1 Medical Center Blvd, Cookeville, TN 38501-4294 |