| NPI | 1588302152 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | STACEY BATES JONES Clinical Director 615-430-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |