| NPI | 1780074187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE ROBINSON Licensed Clinical Social Worker 901-258-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2016-03-16 |