| NPI | 1013736768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WILLIAMS LABRADOR Manager 901-568-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-11-15 |