| NPI | 1972634434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WHITNEY ERICKSON President 865-330-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P0000000499) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-06-17 |