| NPI | 1750024196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RAGSDALE Credentialing Manager 615-905-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |