| NPI | 1184819450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY PETER KAUFMAN Licensed Psychologist 865-588-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN PO000000364) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-09-24 |