| NPI | 1386267490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LOYD STALLINGS Program Manager 865-730-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |