| NPI | 1942088703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN LEA GOAD Fnp Pmhnp 423-534-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |