| NPI | 1639814890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH WILLIAMS WOOLDRIDGE Owner And Counselor 865-210-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-09-06 |