| NPI | 1912645623 |
|---|---|
| Doing Business As | THE JACKSON CENTER FOR MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BEN HARRELL Member 901-647-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-12-13 |