| NPI | 1083619803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT EUGENE GUINN Owner 901-948-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN 104001389) |
| 1041C0700X Social Worker, Clinical (Licence: TN LCSW3139) | |
| 101YM0800X Counselor, Mental Health (Licence: TN LPC1787) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |