| NPI | 1447816384 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTOFER RYAN SAFFLE Authorized/Owner 615-771-1100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-16 | 
| Last Update Date | 2024-06-28 |