| NPI | 1689942385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNY SUTERA Office Mgr. 1865-984-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000014635) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |