Provider Demographics
NPI:1518499771
Name:TUESDAY AND COMPANY, INC.
Entity Type:Organization
Organization Name:TUESDAY AND COMPANY, INC.
Other - Org Name:REFUGE RECOVERY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-548-8882
Mailing Address - Street 1:502 N GARDEN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3238
Mailing Address - Country:US
Mailing Address - Phone:931-548-8882
Mailing Address - Fax:931-901-1218
Practice Address - Street 1:502 N GARDEN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3238
Practice Address - Country:US
Practice Address - Phone:931-548-8882
Practice Address - Fax:931-901-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000019885305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1215064852OtherNPI
TN1407141302OtherNPI
TN1922037258OtherNPI