| NPI | 1962746842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R SMITH CEO/President 931-215-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN 1000000011378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 1000000018345) |
| 1041C0700X Social Worker, Clinical (Licence: TN 1000000011378) | |
| 251V00000X Voluntary or Charitable (Licence: TN 1000000018345) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2025-02-11 |