| NPI | 1770377301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BRADLEY Authorized Official 615-614-8404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |