| NPI | 1710404512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SARNACKE Authorized Office Official 615-720-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-05-29 |