| NPI | 1437027976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI LEE DAVENPORT Owner & Managing Member 931-242-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |