| NPI | 1912047671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN(TOM) A. BILLER Clinical Director 423-479-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN P0000000463) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-01-04 |