| NPI | 1245116367 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ARTHURENE WILLIAMS Clinic Administrator 901-214-7835  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2025-08-13 | 
| Last Update Date | 2025-08-13 |