| NPI | 1083425631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE VIRDEN Clinical Founder & Owner 865-599-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |