Organization
ADVANCED HORIZONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN CAUMMISAR (CHEIF MANAGER)
(901) 624-3581
Entity
Organization
Contact information
Practice address
6685 QUINCE RD, SUITE 124, MEMPHIS, TN 38119-8038
(901) 624-3581
(901) 757-3830
Mailing address
6685 QUINCE RD, SUITE 124, MEMPHIS, TN 38119-8038
(901) 624-3581
(901) 757-3830
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
I 215-096-9686
TN
Other
Enumeration date
11/08/2006
Last updated
08/21/2007
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