| NPI | 1952629198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY B PRATT Owner 731-660-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC813) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TN APRN11898) |
| 101YP2500X Counselor, Professional (Licence: TN LPC2718) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2012-03-05 |