| NPI | 1447442140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY V. TERPSTRA Owner / Operator 423-559-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 1846) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |