Provider Demographics
NPI:1598950685
Name:VARANGON INCORPORATED
Entity Type:Organization
Organization Name:VARANGON INCORPORATED
Other - Org Name:VARANGON ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:CARRUTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:901-531-1950
Mailing Address - Street 1:3030 BRUNSWICK RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4106
Mailing Address - Country:US
Mailing Address - Phone:901-531-1950
Mailing Address - Fax:901-531-1951
Practice Address - Street 1:3030 BRUNSWICK ROAD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134
Practice Address - Country:US
Practice Address - Phone:901-531-1950
Practice Address - Fax:901-531-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility