| NPI | 1366222416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BELT Owner/Provider 865-809-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |