| NPI | 1265796072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN L HARTSELL Therapist 423-444-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 5391) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 4902) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |