| NPI | 1811148273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. HOUSE Persident 865-567-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P1522) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TN P1522) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |