| NPI | 1215297650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JACKSON President 615-218-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 36249) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2013-06-13 |