| NPI | 1902100118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BLANC MOSES Director 865-789-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2568) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |