| NPI | 1073249637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L IVERY Executive Director 901-438-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0800X Clinic/Center Recovery Care | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |