| NPI | 1831579796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE EILEEN CRAWFORD President 423-217-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2802) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-07-06 |