| NPI | 1588934673 |
|---|---|
| Doing Business As | ARDMORE BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLARK Vice President 615-372-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X (Licence: TN MD0000047963) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-04-30 |