| NPI | 1356590202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LEE IVERY Executive Director 901-323-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 1000000002519) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN 1000000002519) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TN 1000000002519) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |