| NPI | 1164441382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE PICKLE VP/Treasurer 615-393-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA RN193502L) |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010562) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-03-19 |