| NPI | 1225264518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SUZANNE SOLIS Chief Manager 931-237-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 0000008121) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |