| NPI | 1588115950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA DAVENPORT CRISP Executive Director 615-554-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2835) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |