| NPI | 1205695285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KEVIN VAUGHN Co Owner 615-482-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |