| NPI | 1689867467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET L TATE Excutive Manager/Owner 901-517-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |