| NPI | 1689752933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH D VINES Clinical Director 931-474-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LCSW00000007047) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |