| NPI | 1548505910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD RITCHIE Owner 865-691-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: TN 0000013161) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2016-08-23 |