| NPI | 1962708321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PETERS CEO 865-525-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |