| NPI | 1730366824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE DAVIS Director Of Credentialng 615-567-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN in progress) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-08-26 |