| NPI | 1144049024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETA ABRAHAM Psychiatric Nurse Practitioner 901-878-9147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2025-02-28 |