| NPI | 1952804791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SALERNO Owner/Nurse Practitoner 865-245-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23995) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2020-12-08 |