| NPI | 1942914221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY HARRIS Member 901-846-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |