| NPI | 1417183328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 222480) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-04-11 |