| NPI | 1518448554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BANDEL Clinical Social Worker 931-217-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 6766) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |