MITCHELL HOME - NPI 1881821056 - Community/Behavioral Health in Chattanooga, TN

Q: What is Fortwood Center, Inc.'s NPI number?

The NPI number for Fortwood Center, Inc. is 1881821056. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is also known as Mitchell Home.

Q: What is Fortwood Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Mitchell Home NPPES

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

MITCHELL HOME (NPI 1881821056) is a healthcare organization registered as a community/behavioral health in Chattanooga, Tennessee and active in the NPI registry since June 2009. The organization lists Melissa Queen-pennington, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881821056

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFORTWOOD CENTER, INC.

Location Address1411 BAILEY AVEChattanooga, TN 37404-2904

Mailing Address1028 E 3rd StChattanooga, TN 37403-2107 · (423) 266-6751 · Fax (423) 763-4650

Phone(423) 266-6751

Fax(423) 763-4650

Organization SubpartYesParent: Mental Health Centers & Clinics Of Fortwood Center, Inc.

Authorized OfficialMelissa Queen-penningtonCfo · (423) 266-6751

Enumeration DateJune 16, 2009

✔ NPI 1881821056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1411 BAILEY AVE, Chattanooga, TN 37404

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Other Names 1

Other NameMitchell Home

Other Identifiers 1

Medicaid3399761TN

Other Providers at the Same Location NPPES 19

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

ANDRE JARIEL ROBINSON

Behavior Technician