| NPI | 1841722022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BATTS Business Manager 931-614-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 1111) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-12-26 |