NPI | 1316359383 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM TEDRICK JOHNSON AO 615-372-3375 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261Q00000X Clinic/Center |
305S00000X Point of Service | |
310500000X Intermediate Care Facility, Mental Illness | |
333600000X Pharmacy | |
Enumeration Date | 2014-05-27 |
Last Update Date | 2021-04-16 |