| NPI | 1316597354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRAMY CANTRELL Owner 931-761-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-12-08 |