| NPI | 1134346661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN F. SHERBAK Clinical Director/Owner 423-752-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-01-28 |