| NPI | 1861163289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHNSTON Sole Member 615-260-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |