| NPI | 1194146894 |
|---|---|
| Other Name | INNOVATION LAB PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-08-22 |