| NPI | 1952082869 |
|---|---|
| Former Legal Business Name | AMANDA FRYE, LCSW |
| Entity Type | Organization |
| Authorized Contact | AMANDA FRYE Owner/Operator 423-653-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |