| 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 |
| 305S00000X Point of Service | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-04-16 |