| NPI | 1447710132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C KENNEDY Owner / Operator 615-498-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |