| NPI | 1164811055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERA H THIELE Clinical Therapist 615-361-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2216) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |