| NPI | 1750696340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBI R MUKATIRA Owner 901-737-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 42712) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-08-20 |