| NPI | 1548618416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA DECKERT Director Of Contracting 615-519-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TN 34835) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-01-14 |