| NPI | 1407663909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER N LABRADOR President/Chief Medical Officer 901-619-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |