NPI | 1154523124 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON BROOKS CEO 865-660-7373 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 101022) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-08-22 |