NPI | 1538204003 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SIDNEY ALEXANDER President 865-470-4206 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 18369) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 11867) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2008-07-01 |