| NPI | 1902221831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WEST Clinical Psychologist 901-505-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 3036) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |