Organization
ENHANCED POTENTIAL
Active
Organization
ENHANCED POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI SNOW-WITZEMAN (PARTNER)
(615) 809-3563
Entity
Organization
Contact information
Practice address
1123A GREENLAND AVE, NASHVILLE, TN 37216-2219
(615) 596-6974
Mailing address
1123A GREENLAND AVE, NASHVILLE, TN 37216-2219
(615) 809-3563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
10/11/2022
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