| NPI | 1093852303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GRIMES Clinical Director 615-483-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000001960) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-19 |