| NPI | 1528788239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT JAY WADE President 615-305-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |