| NPI | 1760262398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN FITCHPATRIC CEO 901-545-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |