Organization
MENTAL HEALTH CENTERS AND CLINICS OF TENNESSEE
Active
Other names
Whitehaven Southwest Mental Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B CAM PBELL (EXECUTIVE DIRECTOR)
(901) 259-1920
Entity
Organization
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
Mailing address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L214-076-6288
TN
Other
Enumeration date
08/25/2006
Last updated
12/30/2008
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