| NPI | 1457022832 |
|---|---|
| Doing Business As | HAWTHORNE PLACE |
| Entity Type | Organization |
| Authorized Contact | CRISTI LYNN BLALOCK Director Of Cont/Compliance 423-467-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-10-30 |