| NPI | 1568979177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE PRUETT Director 423-622-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2019-11-23 |