| NPI | 1649255514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY A SOLOMON Office Manager Owner 423-899-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |