| NPI | 1447402268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALBERT AMEEL President 865-685-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 40604) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TN 40604) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 40604) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |