| NPI | 1629215439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUCINTA VERNITA ROME President 423-718-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4447) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |