| NPI | 1689813057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G BANNISTER President 901-255-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 25198) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |