| NPI | 1942750773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIVINGSTON Owner/ CEO 865-405-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN 13406) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |