| NPI | 1083371769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEGENZOFF Owner 901-228-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |