| NPI | 1346116308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE SMITH-FASON CEO 901-450-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-11-14 |