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 |