| NPI | 1851042410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BUMPOUS Owner 615-544-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |