| NPI | 1134095243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA LATRICE WILLIAMS Nursing Assistant 901-315-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |