| NPI | 1306297460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA NAKIA ADAMS Executive Director 800-274-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: TN L000000017975) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |