| NPI | 1083163752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETT L AUGUSTINO-WILKE Owner/Executive Director 615-985-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 1509) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |