| NPI | 1972485472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA SELBY WAITES Steering Committee Chair 931-200-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2026-07-10 |