| NPI | 1699887273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RTIA B RANGE Supervisory Social Worker 901-523-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 1077) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-08 |