| NPI | 1750125498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRODERICK DWAYNE WEBSTER Mental Health Counselor 901-620-7289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |