| NPI | 1215073887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LOU GUTHRIE Director Of Operations 423-586-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |