| NPI | 1992777841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J SULLIVAN Medical Director 423-787-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN L 214-035-680) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2020-08-22 |