| NPI | 1225848468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBUKOLA ALADESANMI Pmhnp 423-619-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |