| NPI | 1457033805 |
|---|---|
| Doing Business As | MAKE A WAY FOR ADULTS |
| Entity Type | Organization |
| Authorized Contact | ETHEL M VICKS CEO 423-353-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |