NPI | 1619119740 |
---|---|
Entity Type | Organization |
Authorized Contact | AMELIA S RULE President 865-980-1967 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 0000134181) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2010-07-27 |