| NPI | 1942552435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN TIPTON Executive Director 423-773-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN 1000000012039) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1000000011042) |
| 104100000X Social Worker (Licence: TN 1000000011042) | |
| 251B00000X Case Management (Licence: TN 1000000011042) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-07-24 |