| NPI | 1376422568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI L NELSON Member 615-651-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |