| NPI | 1659574549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA D HAWKES Owner 731-664-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN TNLSW355) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |