| NPI | 1972967420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN NEWMAN Owner 423-727-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121294) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |