| NPI | 1285047530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN K PETTY Owner 615-964-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-01-16 |