| NPI | 1598073330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REEVES MILLER President 423-512-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |