| NPI | 1326058272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEVEN KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-03-29 |