| NPI | 1851197610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LANDON MILLWOOD Nurse Practitioner 901-496-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-26 |