| NPI | 1770626319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S DOUGLAS Owner Member 615-377-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 37902) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-02-18 |