| NPI | 1760105431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REDMOND Lead Nurse Practitioner 901-870-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TP2701X Psychologist Group Psychotherapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |