| NPI | 1619159704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL DENISE JONES Owner 901-219-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN 034274) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |