| NPI | 1487400024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHELSEA WALKER Executive Director 901-644-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |