| NPI | 1598129090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DENISE GUTHRIE-ALDINGER Licensed Professional Counselor 901-412-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MS 1239) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |