| NPI | 1619040813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENORRIS LATRISE CRAWFORD-CLARK Mental Health Clinician 615-532-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |