| NPI | 1386743003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHARLES WYATT Sole Owner 865-603-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 2708) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-08-04 |