| NPI | 1497105241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE STILL Owner/Manager 901-258-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 1270) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |