NPI | 1487190229 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH ECKBERG JOHANSSON Professional Counselor 615-415-4464 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 3800) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |