| NPI | 1144499815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLI VAN ERON Owner/Manager 615-467-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 0000613) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |