NPI | 1164957908 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA MOORE CEO 423-616-0297 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000001122) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-05-01 |
Last Update Date | 2025-04-01 |