| NPI | 1740977537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MANNING Lpc Mhsp 423-834-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-12-27 |