| NPI | 1487666806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJU KHANNA Physicain 865-235-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 27350) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN 27350) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-06-16 |