| NPI | 1972319051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH CLARK Mental Health Therapist 423-723-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |