| NPI | 1932417383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KAY RECTOR Member 615-444-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 24725) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2013-06-26 |