| NPI | 1164957510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R SLAUGHTER Clinical Psychologist 615-554-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA PSY003775) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |