| NPI | 1417616640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SAMUELS Owner/Manager 615-970-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |