| NPI | 1053884403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ANGELIQUE HOWINGTON Owner 615-498-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-05-31 |