| NPI | 1760956270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE E JENKINS Office Manager 615-377-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC1900X Psychologist Counseling | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |