| NPI | 1306531777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA A. WATTS Owner/Mental Health Provider 901-921-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |