| NPI | 1962096859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL GREEN VANZANT Owner 615-478-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 106E00000X Assistant Behavior Analyst | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-02-21 |