NPI | 1790106979 |
---|---|
Entity Type | Organization |
Authorized Contact | HARLAND CLAYTON HARRIS Owner 615-766-0218 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3137) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1141) |
Enumeration Date | 2013-12-14 |
Last Update Date | 2024-12-12 |