| NPI | 1992240386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WAYNE SALEWSKY Owner 276-243-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 1000000019291) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |