NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1770124380
CLARKSVILLE TREATMENT CENTER, LLC
6183 PASEO DEL NORTE, STE 200
CARLSBAD
CA
920111155
1457095499
SCOTT
SHANEALE
495 DUNLOP LN STE 106
CLARKSVILLE
TN
370405296
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