| NPI | 1881853117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KAY DOTY Program Sponsor 901-372-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TN 0000000035) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |