| NPI | 1942016258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELENNY DUBOSE Clinician/Owner 615-522-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |