| NPI | 1427603554 |
|---|---|
| Other Name | INTERPROFESSIONAL COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MUELLER Interim Executive Director Procurem 901-678-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |