| NPI | 1437957669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLE G DONELSON Owner 901-383-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-04-16 |