| NPI | 1730513037 |
|---|---|
| Doing Business As | ESCAPE |
| Entity Type | Organization |
| Authorized Contact | WALTER M HENDERSON Cheif Executive Officer 901-736-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |