| NPI | 1811240559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED DONNELL COUCH CEO 901-428-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN I000000011669) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |