| NPI | 1174769277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE D MARTIN CEO 931-552-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 1717) |
| 103TC0700X Psychologist, Clinical (Licence: TN 263) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 611) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 16723) | |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2008-12-20 |