| NPI | 1952836314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL BUDYNAS DEPRIEST Therapist 901-305-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 3798) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |