| NPI | 1992532709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANO PORCHIA Credentialing 615-364-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |