| NPI | 1265973028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIVINGSTON Executive Officer 865-315-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 13406) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |