| NPI | 1457591117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K MELARO President/Nurse Practitioner 731-608-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TN APN0000006039) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2015-02-08 |