| NPI | 1588209233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SANTAN Owner 423-834-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-02-13 |