| NPI | 1265509137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALIDA GUINN BROOKS Owner 423-870-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-06-11 |