| NPI | 1265950919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CHRISTINE BALENTINE Executive Director 901-537-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2519) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |