| NPI | 1356031231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALICK FAUSTIN Director 615-502-3612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-07-26 |