NPI | 1659770428 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK H. WAUGH President 865-481-0180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN P1094) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2014-08-18 |