| NPI | 1689145880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA MORTON Billing And Credentialing Specialis 901-488-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |