| NPI | 1780344630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN CANNON Owner 901-303-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |