| NPI | 1861027146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GABRIEL BENNETT Psychiatric Nurse Practitioner 865-804-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |