| NPI | 1003684085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA J MARSHALL Therapist 423-904-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-05-12 |