NPI | 1720451032 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER WAYNE RICKARD Marriage And Family Therapist 615-543-4667 |
Organization Subpart ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000001161) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |