| NPI | 1770171233 |
|---|---|
| Former Legal Business Name | ROOTED COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ASHLEY COLCLASURE Director 615-772-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |