| NPI | 1982159596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DEANNA CAUDLE Owner 931-265-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 3021) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2018-04-11 |