| NPI | 1720789795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE Y BERNARD Executive Director 901-378-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-04-17 |