| NPI | 1497008692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ORPURT President 865-548-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW3577) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 41361) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |