| NPI | 1215322466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARIE GRAY Behavior Analyst 615-415-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 1-13-14279) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |