| NPI | 1346622560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL O OKPAKU Medical Director 615-329-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 19806) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |