| NPI | 1265858682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C JOHNSTON President 423-943-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 2303) |
| Additional Taxonomies | 2251H1300X Physical Therapist Human Factors (Licence: TN 9490) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |