| NPI | 1508498080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FESTUS C OBONNA Mental Health Nurse Practitioner 865-696-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |