| NPI | 1912407065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROMAN Co Director 615-268-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |