| NPI | 1124601000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE DENNIS Administrator 901-791-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |