| NPI | 1134898703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIETTA BASSETT Owner/Provider 901-240-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-09-01 |