| NPI | 1902541360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHANDRA NICOLE SAULSBERRY Owner 901-567-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-04-30 |