| NPI | 1356485205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN EDWARD QUALLS Clinical Psychologist 615-321-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P2026) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-07-22 |