| NPI | 1386021152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE O'DELL Social Worker 615-879-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 0000003919) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |