| NPI | 1235273673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMOGENE DALTON Manager 423-581-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LCSW1208) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2012-12-10 |