| NPI | 1376811059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM BRIAN GLASS Advance Practice Nurse 615-596-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13198) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-05-17 |