| NPI | 1497121990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STRUBLE Partner 901-767-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20245) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |