| NPI | 1073168241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WALKER Principal Employee 865-392-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-03-07 |