| NPI | 1700141272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RENEE MCWILLIAMS Executive 615-360-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN I000000010956) |
| Additional Taxonomies | 251S00000X |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |