| NPI | 1831804798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY T SULLIVAN Member 615-478-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |