| NPI | 1356903272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA MESSINGER President 423-277-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |