| NPI | 1164048542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENEE MILAM CEO 901-721-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |