Organization
FTP NON PROFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSHI DAWN MATTHEWS (EXECUTIVE DIRECTOR)
(901) 656-0033
Entity
Organization
Contact information
Practice address
121 PAIGE PARK LN, GOODLETTSVILLE, TN 37072-3181
(901) 656-0033
(901) 695-9217
Mailing address
1443 BEAVER TRAIL DR, CORDOVA, TN 38016-0524
(901) 656-0033
(901) 695-9217
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
06/13/2024
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