| NPI | 1831382365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MCILVAINE Licensed Professional Counselor 423-517-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 560) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |