| NPI | 1871044560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAN RAY MILLIGAN Owner 615-351-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LDC0419) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |