| NPI | 1447492699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA NICOLE SMITH Director 901-672-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 251V00000X Voluntary or Charitable (Licence: TN LMSW0000006120) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-02-19 |