| NPI | 1922979897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JONES Managing Partner 901-277-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 208VP0000X | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-01-13 |