| NPI | 1881896140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT J ROTH Executive Director 615-822-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 79330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 1541) |
| 101YP1600X Counselor, Pastoral (Licence: TN 32) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 565) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |