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 |