| NPI | 1659064285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DELAY Co Owner 901-497-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-09-24 |