| NPI | 1457971087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN H DONNELLY CEO/Owner 615-955-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-09-06 |