| NPI | 1417644063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA CATHLEEN POPLAR Owner 615-802-5448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-06-14 |