| NPI | 1134903362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN J CALDWELL Interim Executive Director 901-212-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |