| NPI | 1780986182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH SHOEMAKER Owner 901-338-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 1-09-5345) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |