| NPI | 1619207958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. RAFULS Physician 423-762-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TN 35742) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |