| NPI | 1346538436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIA H JUNGKURTH President 615-636-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9523) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-01-06 |