| NPI | 1891173209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE CHARLES BRYANT President 901-628-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN LDC0000000261) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-02-21 |