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CREEKSIDE RETREAT, INC.
NPI 1720454614
Substance Abuse Rehabilitation Facility in Taft, TN

Active since August 14, 2015
39 STEVENS HOLLOW RD, TAFT, TN 38488(931) 425-0589 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Retreat, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEKSIDE RETREAT, INC. (NPI 1720454614) is a healthcare organization registered as a substance abuse rehabilitation facility in Taft, Tennessee and active in the NPI registry since August 2015. The organization lists Mark Alan Martin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720454614
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCREEKSIDE RETREAT, INC.
Location Address39 STEVENS HOLLOW RDTaft, TN 38488-5269
Mailing Address39 Stevens Hollow RdTaft, TN 38488-5269 · (931) 425-0589
Phone(931) 425-0589
Organization SubpartNo
Authorized OfficialMark Alan MartinExecutive Director · (931) 425-0589
Enumeration DateAugust 14, 2015
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1720454614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in TN · 16877
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
39 STEVENS HOLLOW RD, Taft, TN 38488
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIME WELLNESS LLC
Psychiatric Residential Treatment Facility
39 STEVENS HOLLOW RD
TAFT, TN 38488
Lincoln County (423) 413-6195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creekside Retreat, Inc.'s NPI number?

The NPI number for Creekside Retreat, Inc. is 1720454614. It was assigned to this organization in the NPPES registry on August 14, 2015.

Where is Creekside Retreat, Inc. located?

Creekside Retreat, Inc. is located at 39 Stevens Hollow Rd, Taft, TN 38488. The listed phone number is (931) 425-0589.

What is Creekside Retreat, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Creekside Retreat, Inc. was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.