| NPI | 1538307194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH D MOORE Owner 901-454-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4783) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |