NPI | 1023588431 |
---|---|
Entity Type | Organization |
Authorized Contact | RICKY VARNEY Counselor/Therapist 865-712-1887 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |