| NPI | 1982395091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN GREEN Owner 615-919-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |