NPI | 1205370939 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M ROBERTS Administrator 615-245-6255 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-12-14 |
Last Update Date | 2022-11-11 |