| NPI | 1295404507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WOOD CEO 901-834-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-05-25 |