| NPI | 1841700903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LANIER Owner 615-502-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN 1972) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |