| NPI | 1114319126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAGAMAN Owner 423-468-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN Q006046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN Q006504) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |