NPI | 1952734873 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A. CALARCO Facility CEO 615-712-5862 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8361) |
103T00000X Psychologist (Licence: FL PY8421) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2021-09-08 |