| NPI | 1972668119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T GILBERT Administrator 615-355-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000003179) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |