| NPI | 1043616170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HIGHFIELD Clinic Manager 931-796-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 19367) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |