| NPI | 1033845813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONQUATIS MERRIMAN Chief Executive Officer 615-260-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 183500000X Pharmacist | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-08-15 |