| NPI | 1417357260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CAMPBELL Executive Director 901-827-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 10000000149991) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN 1000000014991) |
| 251S00000X Community/Behavioral Health (Licence: TN 1000000014991) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |