| NPI | 1295898393 |
|---|---|
| Former Legal Business Name | SOUTHEAST MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURIE JEAN POWELL CEO 901-567-3554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: TN 276) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN L2140766281) |
| 251B00000X Case Management (Licence: TN L2140766280) | |
| 251B00000X Case Management (Licence: TN L2140766279) | |
| 251S00000X (Licence: TN 269) | |
| 251S00000X (Licence: TN L2140766278) | |
| 251S00000X (Licence: TN L2140766281) | |
| 251S00000X (Licence: TN L2140766280) | |
| 251S00000X (Licence: TN L2140766279) | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP2300X Clinic/Center, Primary Care (Licence: TN L18537) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-10-04 |