| NPI | 1548644735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A. FREITAG Chief Manager 931-372-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2024-01-08 |