| NPI | 1083892012 |
|---|---|
| Doing Business As | TODD A. LARK, SR. |
| Entity Type | Organization |
| Authorized Contact | TODD ANTHONY LARK, SR Executive Director / CEO 615-573-9089 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 000189998) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN 000189998) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-12-11 |