| NPI | 1417027327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN CAUMMISAR Cheif Manager 901-624-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN I 215-096-9686) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-08-21 |