| NPI | 1063085694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE DANIELLE WADE Psychiatric Nurse Practitioner 423-708-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-09-09 |