| NPI | 1215121165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINWOOD A ROBERTSON Director 423-622-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN I 214-106-9085) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |