| NPI | 1619149739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADWAN R KHURI Owner 901-273-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NC 200201597) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-06-23 |