| NPI | 1881959062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LYNN TODD Director 615-824-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 14488) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |