| NPI | 1427064880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KEISLING Director 901-448-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: TN LM222M20956033) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-08-14 |