| NPI | 1013109511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED I FAROOQUE Partner 615-895-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: TN MD0000020287) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: TN MD0000018343) |
| 1041C0700X Social Worker, Clinical (Licence: TN 4196) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |