NPI | 1881582641 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA SHEA President 901-315-8625 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
207QA0000X Family Medicine, Adolescent Medicine | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208D00000X General Practice | |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-06-27 |
Last Update Date | 2025-06-27 |