| NPI | 1861162992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DAWKINS Owner 901-677-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-02-26 |