| NPI | 1487847091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY S. HAUGHT Counselor 423-292-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1498) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |