| NPI | 1326304387 |
|---|---|
| Doing Business As | LONG HOLLOW BAPTIST CHURCH |
| Entity Type | Organization |
| Authorized Contact | RALPH DOUGLAS COOK Clinical Director 615-829-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LCSW0000004954) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |