| NPI | 1720097975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L GALLAGHER Owner Manager 865-681-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN lsw0000003963) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-04 |