| NPI | 1063934966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STUBBLEFIELD Compliance Officer 931-979-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-06-16 |