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 |