| NPI | 1073872776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY L. HOLLAND Clinic Director 423-439-7777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 9378) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |