| NPI | 1689007379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L BOHANNAN Behavioral Services Director 901-448-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TN L000000012263) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |