| NPI | 1225103914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN O'MALLEY Executive Director 901-324-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L214 096 6397) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |