Organization
MONUMENTAL REDEVELOPMENT CORPORATION
Active
Other names
Vision Behavioral Health Management
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTLE TOLIVER (PROVIDER AFFAIRS COORDINATOR)
(901) 461-5368
Entity
Organization
Contact information
Practice address
1407 UNION AVE, SUITE 1002, MEMPHIS, TN 38104-3627
(901) 272-2622
(901) 272-2602
Mailing address
1407 UNION AVE, SUITE 1002, MEMPHIS, TN 38104-3627
(901) 272-2622
(901) 272-2602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
09/03/2009
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