Organization
FAMILY SERVICES OF THE MID-SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN O'MALLEY MSW (EXECUTIVE DIRECTOR)
(901) 324-3637
Entity
Organization
Contact information
Practice address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 324-3637
(901) 324-9114
Mailing address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 324-3637
(901) 324-9114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L214 096 6397
TN
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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