Organization
MIDTOWN MENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE YVONNE GEETER ASSOCIATE DEGREE (MONITOR)
(901) 949-1889
Entity
Organization
Contact information
Practice address
790 BARTLETT RD #28, MEMPHIS, TN 38122
(901) 949-1889
Mailing address
790 BARTLETT RD APT 28, MEMPHIS, TN 38122-3036
(901) 949-1889
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
101YM0800X
TN
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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