| NPI | 1992793012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE PHILLIPS Director 423-622-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-07-18 |