| NPI | 1538568985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARRY AVERITT Licensed Psychologist 931-526-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN P1360) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |