# A FRESH START TO A NEW BEGINNING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558927111
- **Authorized official:** MRS. NADJA MICHELLE MARION (PROGRAM COORDINATOR)
- **Authorized official phone:** (901) 690-0327

## Contact information

- **Practice address:** 213 RHONDA CIR E, CORDOVA, TN 38018-4325
- **Practice address phone:** (901) 690-0327
- **Mailing address:** 213 RHONDA CIR E, CORDOVA, TN 38018-4325
- **Mailing address phone:** (901) 690-0327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 333300000X | Emergency Response System Companies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2019
- **Last updated:** 05/18/2019