| NPI | 1053598763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE MARIE WEST Addiction Therapist 615-867-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 60284) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |