| NPI | 1366197659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CLARK Sole Owner 931-229-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |