NPI | 1043083942 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PEARSON REDMOND CEO 901-870-0258 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-11-02 |
Last Update Date | 2024-10-30 |