NPI | 1154026730 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTI STORIE Psychotherapist 865-316-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |