| NPI | 1427661941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BERKES President 901-277-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |