| NPI | 1053984484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER WILLIAMS Owner/Practitioner 901-317-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-04-15 |