Provider Demographics
NPI:1932644101
Name:VOLUNTEER RECOVERY CENTER
Entity Type:Organization
Organization Name:VOLUNTEER RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC-TREAS
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-738-8107
Mailing Address - Street 1:959 OLD COOKEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-5616
Mailing Address - Country:US
Mailing Address - Phone:931-738-8107
Mailing Address - Fax:
Practice Address - Street 1:959 OLD COOKEVILLE RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-5616
Practice Address - Country:US
Practice Address - Phone:931-738-8107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEER CHRISTIAN ACADEMY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000019042251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health