| NPI | 1669974317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLISSA HORROCKS Director Of Operations 901-574-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |