| NPI | 1992087399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON Y PITTS Sole Mbr 423-426-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |