| NPI | 1396899803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD EUGENE NELSON Owner 901-458-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC 674) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |