| NPI | 1023067626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER W GLASS Vice President 423-265-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: GA GRP 6721) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |