| NPI | 1053275545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KAY RAST President 865-474-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-17 |