| NPI | 1467225854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA SHERE GARRETT CEO 901-410-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |