| NPI | 1376931204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON COLE Owner 423-444-5169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN LPC0000003243) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-01-13 |