| NPI | 1174804421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUN JETHANANDANI Owner/Operator 865-951-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN MD0000019675) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN MD000019675) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |