| NPI | 1013459015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAROY MCKINNON President 865-235-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3176) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |