| NPI | 1427583988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE AMANDA DEMENT Member Manager 615-557-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2998) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |