| NPI | 1962029694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNAY RENA WILLIAMS Owner 901-406-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-03-04 |