| NPI | 1194559369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER MARIE WILLIAMS Manager/Practitioner 901-317-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-11-08 |