| NPI | 1457351215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE JACKSON CEO 901-622-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-02-26 |