| NPI | 1023362076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY P OWENS Owner/Operator 615-599-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 1000000011714) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |