| NPI | 1669604823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE THOMAS LAURENCE Director 865-974-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 000000004934) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |