| NPI | 1568260172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINTCLARE HICKEY CAMPBELL Therapist 901-487-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |