| NPI | 1457190571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA SCRAGGS LMSW Authorized Representative 865-228-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-28 |