Basic Information
Provider Information
NPI: 1487025557
EntityType: 2
ReplacementNPI:  
OrganizationName: SOLUTIONS OF SAVANANNH, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 85 HARRISON ST
Address2:  
City: SAVANNAH
State: TN
PostalCode: 383722280
CountryCode: US
TelephoneNumber: 7319252767
FaxNumber: 7319254898
Practice Location
Address1: 85 HARRISON ST
Address2:  
City: SAVANNAH
State: TN
PostalCode: 383722280
CountryCode: US
TelephoneNumber: 7319252767
FaxNumber: 7319254898
Other Information
ProviderEnumerationDate: 10/14/2015
LastUpdateDate: 10/14/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DICKSON
AuthorizedOfficialFirstName: BELINDA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER/PROGRAM DIRECTOR
AuthorizedOfficialTelephone: 7319252767
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LPC
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM2800XL16086TNY Ambulatory Health Care FacilitiesClinic/CenterMethadone Clinic

No ID Information.


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