| NPI | 1124841101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET WICKS CEO/Owner 901-305-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2026-02-26 |