NPI | 1790131340 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS VERTREES Managing Member 615-784-4056 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19298) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2023-10-20 |