| NPI | 1669898961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROBERSON Managing Member 615-219-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15474) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 201885) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2023-09-06 |