| NPI | 1154092179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS GARRETT Owner 901-679-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |