| NPI | 1962218818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMIRYS LARA CEO 615-243-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-02-17 |