| NPI | 1114153921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLTSFORD Director 615-465-7466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA 222480) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |