| NPI | 1194586578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN LY Owner 901-249-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-03-19 |