| NPI | 1295553816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MITCHELL Owner/Provider 615-598-7643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-11-22 |