| NPI | 1780814574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL INIMBOM SAMUEL President 865-765-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA 056360) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 056360) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |