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Organization
MENTAL HEALTH CENTERS AND CLINICS OF TENNESSEE
Active
Organization
MENTAL HEALTH CENTERS AND CLINICS OF TENNESSEE
Active
Other names
Whitehaven Southwest Mental Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B CAM PBELL (EXECUTIVE DIRECTOR)
(901) 259-1920
Entity
Organization
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
Mailing address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L214-076-6288
TN
Other
Enumeration date
08/25/2006
Last updated
12/30/2008
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