| NPI | 1598425878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-03-16 |