| NPI | 1639481708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLELLA DAVIS Bookkeeper 615-383-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 2320) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |