| NPI | 1174896492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA WADE Co Owner 901-647-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000002465) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |