NPI | 1073674552 |
---|---|
Entity Type | Organization |
Authorized Contact | C KEITH HULSE CEO/President 865-264-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN p1235) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P1818) |
103TC0700X Psychologist, Clinical (Licence: TN P2497) | |
103TC0700X Psychologist, Clinical (Licence: TN P0873) | |
1041C0700X Social Worker, Clinical (Licence: TN LSW673) | |
1041C0700X Social Worker, Clinical (Licence: TN LSW1229) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2023-10-16 |