| NPI | 1639809197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KENNETH GARMON Managing Member 901-438-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-07-17 |