NPI | 1124583687 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA WILLIAMS CEO 901-568-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-02-08 |
Last Update Date | 2024-02-20 |