| NPI | 1326147331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH SPARKS Admin 423-282-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |