NPI | 1477079028 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT SARNACKE Authorized Official 615-720-8792 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2025-04-03 |