| 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 |