| NPI | 1013692797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE GATEBUKE Director 615-682-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-07-20 |