| NPI | 1447917372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA GRACE THOMPSON Owner 615-364-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2021-11-27 |