NPI | 1992754139 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES C SLEDGE Medical Director 615-352-1757 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
Additional Taxonomies | 101YP2500X Counselor Professional |
103TC1900X Psychologist Counseling | |
2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2006-05-06 |
Last Update Date | 2024-03-27 |