| NPI | 1144039462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RENEE' OWENS Owner 615-994-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |