| NPI | 1750637757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LEE BOLTON Owner 615-624-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2025-04-30 |