| NPI | 1508548637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KEY Licensed Therapist, Board Certified 423-900-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-28 |