| NPI | 1295467462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENOA Y SHENANDOAH Owner 865-263-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-10-10 |