| NPI | 1891912242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE A HILL Administrative Assistant 865-584-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD07965) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P02307) |
| 103TC0700X Psychologist, Clinical (Licence: TN P0855) | |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0292) | |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0345) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD04036) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-03-06 |