| NPI | 1790176667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHDEV SOMIAH Member Manager 423-245-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD39410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |