| NPI | 1881174787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERVETTA PORTER Owner 615-348-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3685) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 6289) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TN 3685) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-09-03 |