| NPI | 1396923553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIANSEN LIU Owner 423-728-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TN 36406) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2009-07-25 |