| NPI | 1255794624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD KINER Executive Director 901-650-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN I000000016947) |
| Additional Taxonomies | 251C00000X (Licence: TN I000000016947) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |