| NPI | 1235575556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY K WILSON Owner 615-248-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |