| NPI | 1760547897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PEDIGO President 865-483-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN L 214-026-1223) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN L 214-026-1223) |
| 251S00000X Community/Behavioral Health (Licence: TN L 214-026-1223) | |
| 101YM0800X Counselor Mental Health (Licence: TN L 214-026-1223) | |
| 101YP2500X Counselor Professional (Licence: TN L 214-026-1223) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |