| NPI | 1891024683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME H MORTON President 865-604-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TN P0000000266) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN P0000000266) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |