| NPI | 1215324033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS ANDERSON Medical Director 901-240-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS 21754) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |