| NPI | 1831670959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE TAYLOR Administrator 931-553-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-06-28 |