NPI | 1083314629 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLEDRIA MCGEE Owner, Provider 901-870-8624 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-03-02 |
Last Update Date | 2023-03-02 |