| NPI | 1962703249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE T. BERRY Clinical Director & Licensed Psycho 865-670-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7104416) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |