| NPI | 1104284363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD EDWARD BATES Counselor 901-347-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN LDC0000000619) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |