VCPHCS XIX, LLC
Ambulatory Health at Highway 45 Byp, Jackson, TN

License number
Tennessee L000000011853
Category
Ambulatory Health
Type
Methadone
Owner
Name: MR. JAMES FREDERICK DRAUDT
Title: COO
Phone: (214) 365-6111
Address
Address 2
1869 Highway 45 Byp SUITE 5, Jackson, TN 38305
8300 Douglas Ave SUITE 750, Dallas, TX 75225
National Provider ID: 1639515646
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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