| NPI | 1962797399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JOYCE STEWART L.P.N. 931-528-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN LPN0000071144) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN LPN0000071144) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |