| NPI | 1194695452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE SMITH-FASON CEO 901-450-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |