| NPI | 1750262077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD HAZEM IBRAHIM AHMAD SABRY CEO 901-212-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |