| NPI | 1518209634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL EDWARD SHONTS Therapist 615-445-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 2722) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |