| NPI | 1609101187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H CROWELL Owner 731-736-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000000387) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |