NPI | 1740618024 |
---|---|
Doing Business As | FISHIELD CORP. |
Entity Type | Organization |
Authorized Contact | ROBERTA O FISHER Asst. Adm 615-366-9445 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN MD0000048598) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN L000000013307) |
261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 1000000013308) | |
261QP2300X Clinic/Center, Primary Care (Licence: TN MD0000013877) | |
Enumeration Date | 2013-10-23 |
Last Update Date | 2013-10-23 |