| NPI | 1215468467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY HENDRICK Owner 615-449-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: TN APN0000012314) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |