| NPI | 1114312899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F WHITE Psychologist 865-691-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000001487) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |