| NPI | 1922733013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENITA TAYLOR Owner 901-585-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 172A00000X Driver |
| 172V00000X Community Health Worker | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 372500000X Chore Provider | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |