| NPI | 1588194385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARD E HOLT Member 615-364-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |