| NPI | 1225525181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANCI BURROW Owner 901-870-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 6733) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-09-22 |