| NPI | 1790394815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYRE A MONTGOMERY Licensed Clinical Social Worker 423-314-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |