| NPI | 1487992939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY LEROY MOOREHOUSE Secratary 423-631-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN LPC0000002819) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |