| NPI | 1861427783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS L. SPIVEY Director Of Administration 423-246-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-01-19 |