| NPI | 1396938239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CARSON Secretary 901-682-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 04915) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: TN 004915) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2010-11-22 |