| NPI | 1255169926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA A MILLER Therapist 931-241-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-08-28 |