| NPI | 1427803311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FRASURE Chief Operating Officer 423-833-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-25 |