NPI | 1306372321 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN D. KINNEY President 865-640-5484 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 12840) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |