| NPI | 1346493574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T LINK Manager 615-453-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 1427) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TN 1725) |
| 101YM0800X Counselor, Mental Health (Licence: TN 1496) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |