| NPI | 1740618024 |
|---|---|
| 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 |