| NPI | 1821239849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN LEWIS DANTZLER Director/Therapist 901-746-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN LCD0000001036) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN LCD0000001036) |
| Enumeration Date | 2009-03-21 |
| Last Update Date | 2009-03-21 |