| NPI | 1144609058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE CHARLES BRYANT CEO 901-249-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN L000000014840) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-02-21 |