NPI | 1851165765 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENA S. MCCLURE Clinician And Clinical Supervisor 615-906-5464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
324500000X Substance Abuse Rehabilitation Facility | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2023-11-10 |
Last Update Date | 2023-11-10 |