| NPI | 1568644854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALBERT BELLEFANT Vice President 423-928-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 651) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |