| NPI | 1619534609 |
|---|---|
| Doing Business As | COTTONWOOD CREEK WELLNESS CENTER - LOST RIVER |
| Entity Type | Organization |
| Authorized Contact | JANIE PICKLE VP, Controller 615-393-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-03-22 |