| NPI | 1932352218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN STANDRIDGE Clinical Therapist 865-524-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN LSW0000001058) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |