| NPI | 1174969083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRICKA D HARDY Owner 615-389-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 5784) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 5784) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-06-11 |