| 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 |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2025-04-24 |