| NPI | 1457858193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA P SHERFEY Lcsw 423-340-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006145) |
| 1041C0700X Social Worker, Clinical (Licence: TN 4713) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-06-20 |