| NPI | 1942507140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL LENARD WILSON President 901-830-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |