| NPI | 1730841859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SUPPLE Psychologist 615-574-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |