| NPI | 1740983725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELISA ANDERSON Owner 901-238-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-04-10 |