| NPI | 1801593603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE C FEAGANS Managing Member/Owner 423-827-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |