| NPI | 1861144032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOMI AFANGNON KOKOU-ABI Executive Director 865-306-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-03-13 |