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 |