NPI | 1174916530 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMERON JACKSON Chief Executive Officer 615-310-0287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-03-10 |
Last Update Date | 2019-04-05 |