| NPI | 1134819824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TIDWELL JANICEK Psychiatric Nurse Practitioner 615-235-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |