| NPI | 1184001869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA OLIVAS Office Manager 423-708-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 38569) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4744) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-03-04 |