| NPI | 1790423366 |
|---|---|
| Doing Business As | NORTHSHORE GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALVIN HAWTHORNE President 865-584-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-25 |