| NPI | 1962658377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C ERIC LINCOLN Chairman 901-377-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |