| NPI | 1649816588 |
|---|---|
| Other Name | EMBODIMENT THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEAN ALLISON CHURCH Provider 865-368-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2022-02-24 |