| NPI | 1467708594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTIN R. GLENNON Executive Director 423-265-7935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 1000000010446) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |